Most Relevant Information
Provider Data
| NPI Number: | 1003047309 |
| Provider Name: | MELISSA MARIE FALLON D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 054497-1 |
Most Important Dates
| Enumeration Date: | 08/04/2009 |
| Last Updated: | 10/23/2012 |
Provider Practice Location
403 VIRGINIA AVE
FAIRMONT
WV
265542748
Practice Location Phone/Fax
| Phone: | 3043663910 |
| Fax: | 3043665539 |
Provider Mailing Location
516 COST AVE.
STONEWOOD
WV
26301
Provider Mailing Phone/Fax
| Phone: | 3046245250 |
| Fax: | 3046245251 |