DR. JERRY N FALK (NPI# 1972622496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972622496 |
| Entity Type | Individual |
| Full Name | DR. JERRY N FALK |
| Credential | DMD |
| Practice Address |
15 Carrs Tavern Rd Clarksburg NJ 08510-1505 |
| Mailing Address |
6 Doe Ct Clarksburg NJ 08510-1510 |
| Practice Telephone | 6092593250 |
| Practice Fax Number | 6092597738 |
| Mailing Telephone | 6092599692 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22D101091100 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2978903 | 05 |
| Street Address |
15 CARRS TAVERN RD |
| City | CLARKSBURG |
| State | NJ |
| Zip Code | 08510-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114368230 | Allyson K Falk | Dentist | 15 Carrs Tavern Road, Clarksburg, NJ 08510 | 2013-07-17 |
| 1346405727 | Irene Mazur | Psychiatry & Neurology | 17 Molsbury Ln, Millstone, NJ 08510 | 2008-07-24 |
| 1609807379 | Pius Chikezie | Internal Medicine | 6 Lahaway Creek Ct, Millstone Township, NJ 08510 | 2006-07-05 |
| 1437514106 | Jerry N. Falk, Dmd | Dentist | 15 Carrs Tavern Road, Clarksburg, NJ 08510 | 2015-12-23 |
| 1114307436 | Ladacin Network | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 31 Burnt Tavern Rd, Millstone Township, NJ 08510-1102 | 2015-06-02 |
| 1851835169 | Beth Mcginley | Counselor | 1 Brookside Rd, Millstone Township, NJ 08510-1203 | 2016-12-06 |
| 1851341382 | Kinnari K Patel | Optometrist | 498 Monmouth Rd, Suite 2, Clarksburg, NJ 08510-1219 | 2006-05-12 |
| 1841475274 | Advanced Eyecare of Millstone | Optometrist | 498 Monmouth Rd, Suite 2, Clarksburg, NJ 08510-1219 | 2008-01-03 |
| 1184652109 | Sunshine Pediatrics, LLC | Pediatrics | 504 Monmouth Rd, Suite 7, Clarksburg, NJ 08510-1226 | 2006-06-29 |
| 1588860100 | Deborah Lynne Kessous | Pediatrics | 504 Monmouth Rd, Millstone Township, NJ 08510-1226 | 2007-06-21 |
| Find all providers in zip 08510 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831629161 | Tyler Patrick Brown | Dentist | 2017 E Pike St, Clarksburg, WV 26301-6013 | 2017-06-19 |
| 1598147480 | Amy Linn Governor | Dentist | 250 Emily Dr, Clarksburg, WV 26301-5500 | 2015-06-26 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1083803498 | Stephen Boyd Broughton | Dentist | 117 1/2 Nicholas St, Clarksburg, WV 26301 | 2007-10-22 |
| 1265501142 | Thomas Edward Condron | Dentist | 234 Court St, Clarksburg, WV 26301 | 2006-11-07 |
| 1851485668 | John Matthew Williams | Dentist | 23401 Frederick Rd, Clarksburg, MD 20871-9705 | 2006-10-03 |
| 1891895330 | Michael Anthony Hazey II | Dentist | 720 E Pike St, Clarksburg, WV 26301-2240 | 2006-09-24 |
| 1326143207 | Frank William Angotti | Dentist | 604 Rosebud Plaza, Clarksburg, WV 26301 | 2006-09-14 |
| 1619917135 | Kelley Elaine Heal-ortiz | Dentist | 432 W Main St, Clarksburg, WV 26301-2817 | 2006-06-07 |
| 1255336095 | Gerard Anthony Veltri | Dentist | 222 Court St, Clarksburg, WV 26301-2906 | 2005-06-17 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 08510 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.