Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael William Fallon IV, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780118299

Dr. Michael William Fallon IV, DDS is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

4482 Chelise Hamlet Rd
Syracuse, NY 13215-9668
Phone: (315) 751-7598
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1780118299
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 12, 2017
Last updated in NPPESApril 12, 2017

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