Individual
FALLON ANDREA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13519 MICHIGAN AVE, DEARBORN, MI 48126-3510
(313) 633-9318
Mailing address
8956 162ND ST FL 3, JAMAICA, NY 11432-5072
(718) 657-1100
(718) 657-1870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
060687
NY
1223P0221X
Pediatric Dentistry
Primary
2901602780
MI
Other
Enumeration date
11/01/2017
Last updated
08/26/2025
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