Provider Demographics
NPI:1548353014
Name:FALKEL, MICHAEL IRVING (DDS)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:IRVING
Last Name:FALKEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 EL DORADO STREET
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4606
Mailing Address - Country:US
Mailing Address - Phone:831-648-5335
Mailing Address - Fax:831-655-6434
Practice Address - Street 1:333 EL DORADO STREET
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4606
Practice Address - Country:US
Practice Address - Phone:831-648-5335
Practice Address - Fax:831-655-6434
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA357171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice