Search › Massachusetts › 1223G0001X
Nellie Gannon, DMD
NPI 1710480876 · on the registry since 2018 · sole proprietor
Practice
- Address
- 850 Harrison Ave Fl 6
Boston, MA 02118 - Phone
- (617) 414-4837
- Organisation at this address
- Boston Medical Center
Boston Medical Center
Boston Medical Center
Child Health Foundation
Boston Medical Center CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 423
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- IL, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-20
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 Massachusetts