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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NELLIE PATRICIA GANNON, DMD

Active Sole Proprietor

DR. NELLIE PATRICIA GANNON, DMD is a General Dentistry healthcare provider located in BOSTON, Massachusetts. NPI 1710480876 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BOSTON, MA

Registration Details

NPI Number
1710480876
Provider Type
Individual
Gender
Female
NPI Issued
Mar 15, 2018 (8.4339669764542 yrs)
Last Updated
Jun 20, 2023
Licenses
019.031842 (IL)
DN1859799 (MA)
Sole Proprietor
Yes

Practice Information

Address
850 HARRISON AVE FL 6
BOSTON, MA, 021184001
Browse MA providers · Browse ZIP 02118
Phone
6174144837
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in BOSTON, MA

Name Credential NPI
DR. PAUL J. SCULL D.M.D. 1336143858
DR. RHONDA JOSEPHINE FRIEDMANN D.M.D. 1518941855
DR. TIMOTHY NEIL SMITH DMD 1205812120
DR. CAROL L AIKEN D.D.S. 1578541629
DR. NOSHIR MEHTA DMD 1740251289
DR. GELYNN LEE MAJURE DDS 1891769196
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.