Fallis, Drew Wayne

Fallis, Drew Wayne is an individual health care provider with primary practice located at 2200 Bergquist Dr Ste 1 Attn: Darlon Jackson, Credentials Manager, Lackland A F B TX 78236-9908. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fallis, Drew Wayne can be contacted via phone (210) 292-7395.

Contact Information

Primary practice address
2200 Bergquist Dr Ste 1 Attn: Darlon Jackson, Credentials Manager Lackland A F B TX 78236-9908
Phone: (210) 292-7395
Fax: (210) 292-7964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4870 Oklahoma

Profile Details

NPI number 1679595946
LBN Legal business name Fallis, Drew Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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