Faulkner, Virginia Brooke

Faulkner, Virginia Brooke is an individual health care provider with primary practice located at 1401 Madison Ave , Covington KY 41011-3313. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Faulkner, Virginia Brooke can be contacted via phone (859) 655-6100.

Contact Information

Primary practice address
1401 Madison Ave Covington KY 41011-3313
Phone: (859) 655-6100
Fax: (859) 655-6179
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30.24774 Ohio
Dental Providers / Dentist 122300000X 9747 Kentucky

Profile Details

NPI number 1003264888
LBN Legal business name Faulkner, Virginia Brooke
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Mar 15th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003264888 NPPES
Kentucky MEDICAID 7100410240

Popular Providers