Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL LAWRENCE GANNON, D.M.D.
Active Sole ProprietorDR. MICHAEL LAWRENCE GANNON, D.M.D. is a Periodontology healthcare provider located in VIENNA, Virginia. NPI 1316096480 is currently active in the NPPES registry. Verify at CMS.
Periodontology · VIENNA, VA
Registration Details
- NPI Number
- 1316096480
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2007 (19.558159794241 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6214 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
138 CHURCH ST NEVIENNA, VA, 221804543Browse VA providers · Browse ZIP 22180
- Phone
- 7039386022
- Fax
- 7039386039
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in VIENNA, VA
| Name | Credential | NPI |
|---|---|---|
| TRANG SALZBERG | DDS | 1073536306 |
| DR. JENNIFER HILARIO DIAZ | DMD, MS | 1154409506 |
| MR. EUNSEOK OH | D.D.S | 1831306844 |
| DR. MICHAEL VINCENT FARR | D.D.S. | 1194935601 |
| DR. KEREN SPERLING | D.M.D, M.S.C | 1588898266 |
| DR. RONALD M ROSENBERG | D.D.S. | 1609283373 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.