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Dr. Patricia Liston-gannon, DDS
Pediatric Dentist in Orland Park, Illinois
NPI 1982814125

Patricia Liston-gannon is a Pediatric Dentist based in Orland Park, IL and is specialized in Pediatric Dentistry. Patricia Liston-gannon practices in Orland Park, IL and has the professional credentials of DDS. The NPI Number for Patricia Liston-gannon is 1982814125 and holds a License No. (Illinois).

The current practice location address for Patricia Liston-gannon is 15300 West Ave, Orland Park, IL and can be reached out via phone at 708-403-3330 and via fax at 708-403-5762.

Location: 15300 West Ave, Orland Park, IL, 60462-4600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982814125
Provider Name
Patricia Liston-gannon
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
15300 West Ave, Orland Park, IL, 60462-4600
Phone Number
708-403-3330
Fax Number
708-403-5762
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15300 West Ave
City
Orland Park
State
Illinois
Zip
60462-4600
Phone Number
708-403-3330
Fax Number
708-403-5762
person
Provider Business Mailing Address Details
Address
15300 West Ave
City
Orland Park
State
Illinois
Zip
60462-4600
Phone Number
708-403-3330
Fax Number
708-403-5762
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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