Michael Lawrence Gannon, D.M.D.
Periodontics · Vienna, VA
Practice location
138 Church St NEVienna, VA 22180-4543
- Phone
- (703) 938-6022
- Fax
- (703) 938-6039
NPI record
- NPI
- 1316096480
- Entity type
- Individual (Type 1)
- Enumeration date
- January 9, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
6214 | VA |
About Dr. Gannon
Michael Lawrence Gannon, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 138 Church St NE, Vienna, VA 22180-4543. The NPI number 1316096480 was assigned on January 9, 2007 and the record was last updated on July 8, 2007.
Dr. Gannon lists a license in the registry: #6214 (VA) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael Lawrence Gannon, D.M.D.?
The NPI number is 1316096480.
What is the phone number of Dr. Gannon?
The phone number listed for the practice location is (703) 938-6022.
Where is Dr. Gannon located?
138 Church St NE, Vienna, VA 22180-4543.
What is the taxonomy code for Dr. Gannon?
The primary taxonomy code is 1223P0300X – Periodontics.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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