Active NPIIndividual provider

Dr. Mark Fallon, DMD

Dentist, General Practice in Mystic, Connecticut

NPI Number1780738542
Practice location
117 Cow Hill RD, Mystic, CT 06355-1449
Fax
860-572-1409
Last updated
July 8, 2007

Mark Fallon is a Dentist, General Practice based in Mystic, CT. Mark Fallon practices in Mystic, CT and has the professional credentials of DMD. The NPI Number for Mark Fallon is 1780738542 and holds a License No. 6346 (CT). The current practice location address for Mark Fallon is 117 Cow Hill RD, Mystic, CT 06355-1449 and can be reached out via phone at 860-536-4951 and via fax at 860-572-1409.

Provider Profile Details

NPI Number
1780738542
Provider Name
Mark Fallon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
117 Cow Hill RD, Mystic, CT 06355-1449
Phone Number
860-536-4951
Fax Number
860-572-1409
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
January 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
117 Cow Hill RD
Mystic, CT 06355-1449
City
Mystic
Zip
06355-1449
Phone Number
860-536-4951
Fax Number
860-572-1409
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
117 Cow Hill RD
Mystic, CT 06355-1449
City
Mystic
State
CT
Zip
06355-1449
Phone Number
860-536-4951
Fax Number
860-572-1409

License Information

License Number
6346
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark Fallon, DMD?

The NPI number of Dr. Mark Fallon, DMD is 1780738542. It was assigned on January 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Fallon, DMD?

Dr. Mark Fallon, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 6346.

Where does Dr. Mark Fallon, DMD practice?

The practice location is 117 Cow Hill RD, Mystic, CT 06355-1449. The office can be reached at 860-536-4951 (phone) or 860-572-1409 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780738542 directly on the NPPES registry website.

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