# ORAL AND MAXILLO-FACIAL SURGERY ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr.Thomas J Fallon,D.D.S.,P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134240617
- **Authorized official:** DR. THOMAS J FALLON D.D.S.P.C. (ORAL SURGEON)
- **Authorized official phone:** (315) 452-2570

## Contact information

- **Practice address:** 5100 W TAFT RD, 3M, LIVERPOOL, NY 13088-3807
- **Practice address phone:** (315) 452-2570
- **Mailing address:** 5100 W TAFT RD, 3M, LIVERPOOL, NY 13088-3807
- **Mailing address phone:** (315) 452-2570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 06/25/2008