# FALLON FAMILY DENTAL CARE

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

## Provider details

- **NPI number:** 1801223540
- **Authorized official:** CARY JAQUES (PARTNER)
- **Authorized official phone:** (775) 423-5213

## Contact information

- **Practice address:** 300 W A ST, FALLON, NV 89406-2947
- **Practice address phone:** (775) 423-5213
- **Practice address fax:** (775) 423-9602
- **Mailing address:** 300 W A ST, FALLON, NV 89406-2947
- **Mailing address phone:** (775) 423-5213
- **Mailing address fax:** (775) 423-9602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5894 | NV | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/26/2013
- **Last updated:** 03/28/2019