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DR. MICHAEL WILLIAM FALLON D.D.S. NPI 1265520613


NPI Information

NPI: 1265520613
Provider Name: DR. MICHAEL WILLIAM FALLON, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
5109 W GENESEE ST
SUITE 105
CAMILLUS, NY
ZIP 13031
Phone: (315) 487-9377
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DR. Michael William Fallon, D.D.S. is a general practice dentist in Camillus, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Michael William Fallon, D.D.S. NPI is 1265520613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5109 W GENESEE ST
SUITE 105
CAMILLUS, NY
ZIP 13031-352
Phone: (315) 487-9377
Fax: (315) 488-1017

The NPI 1265520613 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 11/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist42076NEW YORKNo
21223G0001XDentistGeneral Practice042589NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.