Individual provider · Type 1 NPI

Olivia Nicole Gannon, DDS

General Practice Dentistry · Johnson City, TN

NPI number 1033201397 Active

About NPI 1033201397

Olivia Nicole Gannon, DDS's National Provider Identifier is 1033201397, issued on Sep 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Johnson City, TN. The record was last updated on Feb 22, 2019.