Daniel Martin Fallon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6478 Issued in WI

Practice address

8 Boon Blvd
Marshfield Clinic Dental Center - Neillsville
Neillsville, WI 54456-2176

Phone

(715) 743-1900

NPI assigned

Jul 6, 2009

Last updated

Jan 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1982833497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BOON BLVD",
            "address_2": "MARSHFIELD CLINIC DENTAL CENTER - NEILLSVILLE",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544562176",
            "telephone_number": "715-743-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "DANIEL",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12720",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Donnelly, D.O.
• Doula Alcove
• Erin Kaye Drawz, LPC
• Angela Eggen, OTR
• Andrew W. Engel, DDS
• Family Eye Clinic, Inc.
• Family Health Center of Marshfield Inc (Family Health Center - Neillsville Dental Center)
• Joel Raymond Feist, M.S.
• David Alan Fields, PAC
• Maryann Alyce Forsell, DMD

• General Practice Dentistry in Neillsville, WI
• Providers in Neillsville, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.