Michael William Fallon III, D.D.S.

General Practice Dentistry · Camillus, NY

Individual Active NPI

NPI number 1265520613

Practice location

5109 W Genesee St
Suite 105
Camillus, NY 13031-2352
Phone
(315) 487-9377
Fax
(315) 488-1017

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NPI record

NPI
1265520613
Entity type
Individual (Type 1)
Enumeration date
October 11, 2006
Last updated
November 16, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 042589 NY
Dentist 122300000X 42076 NY

Mailing address

5109 W Genesee St Ste 105
Camillus, NY 13031-2372
Phone
(315) 487-9377

About Dr. Fallon

Michael William Fallon III, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5109 W Genesee St, Suite 105, Camillus, NY 13031-2352. The NPI number 1265520613 was assigned on October 11, 2006 and the record was last updated on November 16, 2015.

Dr. Fallon lists 2 licenses in the registry: #042589 (NY) for General Practice Dentistry; #42076 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael William Fallon III, D.D.S.?

The NPI number is 1265520613.

What is the phone number of Dr. Fallon?

The phone number listed for the practice location is (315) 487-9377.

Where is Dr. Fallon located?

5109 W Genesee St, Suite 105, Camillus, NY 13031-2352.

What is the taxonomy code for Dr. Fallon?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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