# PAUL T FALLON DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376693697
- **Authorized official:** DR. PAUL T FALLON DDS (OWNER)
- **Authorized official phone:** (315) 451-6988

## Contact information

- **Practice address:** 4820 W TAFT RD, LIVERPOOL, NY 13088-2800
- **Practice address phone:** (315) 451-6988
- **Mailing address:** 4820 W TAFT RD, LIVERPOOL, NY 13088-2800
- **Mailing address phone:** (315) 451-6988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 026188 | NY | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 10/19/2007