Individual
DR. JEROME MARK FALKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PA
Contact information
Practice address
912 N JACKSON, MAGNOLIA, AR 71753-2446
(870) 234-0450
(870) 234-5662
Mailing address
912 N JACKSON, MAGNOLIA, AR 71753-2446
(870) 234-0450
(870) 234-5662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2640
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58827
BLUE CROSS
AR
01
—
849579
UNITED CONCORDIA
AR
Enumeration date
08/30/2006
Last updated
07/08/2007
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