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
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601
- Phone
- (423) 975-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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