MS. Olivia Nicole Gannon, DDS

NPI #1033201397 in Johnson City, Tennessee

Provider Information

NPI Number
1033201397
Entity Type
Individual
Name
MS. Olivia Nicole Gannon, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Sep 28, 2006
Last Updated
Feb 22, 2019

Practice Location

Address
219 PRINCETON ROAD
ZIP Code
37601
Phone
(423) 975-2200

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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