DR. Michael William Fallon III, D.D.S.

NPI #1265520613 in Camillus, New York

Provider Information

NPI Number: 1265520613
Entity Type: Individual
Name: DR. Michael William Fallon III, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 11, 2006
Last Updated: Nov 16, 2015

Practice Location

Address: 5109 W GENESEE ST
Address 2: SUITE 105
City: Camillus
State: New York
ZIP Code: 13031-2352
Phone: (315) 487-9377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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