Individual provider · Type 1 NPI

Michael William Fallon Iv, DDS

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1780118299 Active

Practice location

4482 Chelise Hamlet Rd
Syracuse, NY 13215-9668

Call (315) 751-7598 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780118299

Michael William Fallon Iv, DDS's National Provider Identifier is 1780118299, issued on Apr 12, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on Apr 12, 2017.