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Dr. Michael Lawrence Gannon, DMD
Periodontist in Vienna, Virginia
NPI 1316096480

Michael Lawrence Gannon is a Periodontist based in Vienna, VA and is specialized in Periodontics. Michael Lawrence Gannon practices in Vienna, VA and has the professional credentials of DMD. The NPI Number for Michael Lawrence Gannon is 1316096480 and holds a License No. 6214 (Virginia).

The current practice location address for Michael Lawrence Gannon is 138 Church St Ne, Vienna, VA and can be reached out via phone at 703-938-6022 and via fax at 703-938-6039.

Location: 138 Church St Ne, Vienna, VA, 22180-4543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316096480
Provider Name
Michael Lawrence Gannon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
138 Church St Ne, Vienna, VA, 22180-4543
Phone Number
703-938-6022
Fax Number
703-938-6039
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
138 Church St Ne
City
Vienna
State
Virginia
Zip
22180-4543
Phone Number
703-938-6022
Fax Number
703-938-6039
person
Provider Business Mailing Address Details
Address
138 Church St Ne
City
Vienna
State
Virginia
Zip
22180-4543
Phone Number
703-938-6022
Fax Number
703-938-6039
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
6214 (Virginia)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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