Provider Demographics
NPI:1487677753
Name:FALVEY, KEVIN J (DDS)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:J
Last Name:FALVEY
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 1:620 PELHAMDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2810
Mailing Address - Country:US
Mailing Address - Phone:914-738-0666
Mailing Address - Fax:914-738-3754
Practice Address - Street 1:620 PELHAMDALE AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-2810
Practice Address - Country:US
Practice Address - Phone:914-738-0666
Practice Address - Fax:914-738-3754
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY396571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice