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Olivia Gannon, DDS
NPI 1033201397 · on the registry since 2006
Practice
- Address
- 219 Princeton Road
Johnson City, TN 37601 - Phone
- (423) 975-2200
- Fax
- (423) 975-2210
- Organisation at this address
- State Of Tennessee
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 46
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- VA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee