person
Ms. Olivia Nicole Gannon, DDS
General Practice Dentistry in Johnson City, Tennessee
NPI 1033201397

Olivia Nicole Gannon is a General Practice Dentistry based in Johnson City, TN and is specialized in General Practice. Olivia Nicole Gannon practices in Johnson City, TN and has the professional credentials of DDS. The NPI Number for Olivia Nicole Gannon is 1033201397 and holds a License No. 0401411537 (Tennessee).

The current practice location address for Olivia Nicole Gannon is 219 Princeton Road, Johnson City, TN and can be reached out via phone at 423-975-2200 and via fax at 423-975-2210.

Location: 219 Princeton Road, Johnson City, TN, 37601
person
Provider Profile Details
NPI Number
1033201397
Provider Name
Olivia Nicole Gannon
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
219 Princeton Road, Johnson City, TN, 37601
Phone Number
423-975-2200
Fax Number
423-975-2210
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9183867 01 VA DORAL
institution
Provider Business Practice Location Address Details
Address
219 Princeton Road
City
State
Zip
37601
Phone Number
423-975-2200
Fax Number
423-975-2210
person
Provider Business Mailing Address Details
Address
219 Princeton Road
City
State
Zip
37601
Phone Number
423-975-2200
Fax Number
423-975-2210
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
0401411537 (Virginia)
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.
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