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Contact Information

JEFFREY A FAULKNER, M.D., D.D.S.
1600 N MAIN AVE
LOVINGTON, NM88260-2813
 Phone: 575-396-6611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEFFREY A FAULKNER · (Male)

NPI # 1316938160
Status Active
Credentials M.D., D.D.S.
Entity Individual
Enumeration date 11/01/2005
Last updated 11/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # MD2022-1352
  • PA License # MD064495L
  • TX License # 12726
  • TX License # P3319
Hospital affiliation(s)
  • CONNALLY MEMORIAL MEDICAL CENTER - (Acute Care)
    499 10TH STREET
    FLORESVILLE, TX 78114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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