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Dr. Michael William Fallon IV, DDS
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1780118299

Michael William Fallon IV is a Student in an Organized Health Care Education/Training Program based in Syracuse, NY. Michael William Fallon IV practices in Syracuse, NY and has the professional credentials of DDS. The NPI Number for Michael William Fallon IV is 1780118299 and holds a License No. (New York).

The current practice location address for Michael William Fallon IV is 4482 Chelise Hamlet Rd, Syracuse, NY and can be reached out via phone at 315-751-7598.

Location: 4482 Chelise Hamlet Rd, Syracuse, NY, 13215-9668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780118299
Provider Name
Michael William Fallon IV
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4482 Chelise Hamlet Rd, Syracuse, NY, 13215-9668
Phone Number
315-751-7598
Fax Number
Provider Enumeration Date
04/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4482 Chelise Hamlet Rd
City
Syracuse
State
New York
Zip
13215-9668
Phone Number
315-751-7598
Fax Number
person
Provider Business Mailing Address Details
Address
4482 Chelise Hamlet Rd
City
Syracuse
State
New York
Zip
13215-9668
Phone Number
315-751-7598
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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