PAUL T FALLON DDS PC NPI 1376693697

NPI Information

  • NPI: 1376693697
  • Provider Name: PAUL T FALLON DDS PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 4820 W TAFT RD
    LIVERPOOL, NY
    ZIP 13088
  • Phone: (315) 451-6988

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NPI Details

PAUL T FALLON DDS PC is an oral and maxillofacial surgery dentist in Liverpool, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PAUL T FALLON DDS PC NPI is 1376693697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4820 W TAFT RD
LIVERPOOL, NY
ZIP 13088-800
Phone: (315) 451-6988

The provider's authorized official is Paul T Fallon .
The authorized official title is Owner and has the following contact phone number (315) 451-6988.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 10/19/2007.

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
11223S0112XDentistOral and Maxillofacial Surgery026188NEW YORKYes

What is NPI?

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This page was last updated on: 3/30/2025

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