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DR. GLEN JAY FALLO DMD
NPI 1033194956
Dentist - General Practice in Monterey, CA

Active since December 14, 2005
423 CORPORAL EVANS RD, MONTEREY, CA 93944(831) 242-5612(831) 242-5772 Get Directions Write a Review

NPPES record last updated: June 10, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Glen Jay Fallo Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN JAY FALLO DMD (NPI 1033194956) is an individual general practice provider in Monterey, California, licensed in Kentucky (6022) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1033194956
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GLEN JAY FALLOCredential: DMD
Location Address423 CORPORAL EVANS RDMonterey, CA 93944-3403
Mailing Address423 Corporal Evans RdMonterey, CA 93944-3403 · (831) 242-5612 · Fax (831) 242-5772
Phone(831) 242-5612
Fax(831) 242-5772
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateJune 10, 2016
✔ NPI 1033194956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 6022
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
423 CORPORAL EVANS RD, Monterey, CA 93944
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAUNA MARIE RATLIFF
Dental Assistant
423 CORPORAL EVANS RD
MONTEREY, CA 93944
Monterey County (831) 242-4000
RUBEN BLOT
Dental Assistant
423 CORPORAL EVANS RD
MONTEREY, CA 93944
Monterey County (831) 242-5612
JULIE DIANE FULTON
Dental Hygienist
423 CORPORAL EVANS RD
MONTEREY, CA 93944
Monterey County (831) 242-5612
IRIANA ELEN AVILAN
Dental Hygienist
423 CORPORAL EVANS RD
MONTEREY, CA 93944
Monterey County (831) 242-5612
CORINA HARO RDH
Dental Hygienist
423 CORPORAL EVANS RD
MONTEREY, CA 93944
Monterey County (831) 242-5612
STEFANIE KELSEY
Dental Hygienist
423 CORPORAL EVANS RD
MONTEREY, CA 93944
Monterey County (831) 402-7969

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Fallo's NPI number?

The NPI number for Glen Fallo is 1033194956. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Glen Fallo located?

Glen Fallo practices at 423 Corporal Evans Rd, Monterey, CA 93944. The listed phone number is (831) 242-5612.

What is Glen Fallo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Glen Fallo was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.