Paul T Fallon DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

026188 Issued in NY

Legal business name

PAUL T FALLON DDS PC

Practice address

4820 W Taft Rd
Liverpool, NY 13088-2800

Phone

(315) 451-6988

NPI assigned

Jan 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul T Fallon, DDS

Title

Owner

Phone

(315) 451-6988

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1376693697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-451-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-451-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T FALLON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "FALLON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-451-6988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "026188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris K Pateras, DDS
• Daniel Dino Patriarco, D.C.
• Eileen Rae Patterson, RN
• Keanah Patterson, LPN
• Laura Patulski, RN
• Cory Pazcoguin
• Pediatric Now Medical Care, PLLC
• Benjamin Peet, DPT
• Emilia Kathleen Peluso, PA-C
• Wilfredo Perez, CASAC-T

• Oral and Maxillofacial Surgery (Dentist) in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.