Individual provider · Type 1 NPI
Michael Lawrence Gannon, DMD
Periodontics · Vienna, VA
NPI number
1316096480
Active
Practice location
138 Church St NE
Vienna, VA 22180-4543
Fax (703) 938-6039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 6214 (VA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Vienna
- Trang Salzberg, DDSPeriodontics Vienna, VA NPI 1073536306
- Jennifer Hilario Diaz, DMD, MSPeriodontics Vienna, VA NPI 1154409506
- Michael Vincent Farr, DDSPeriodontics Vienna, VA NPI 1194935601
- Keren Sperling, D.M.D, M.S.CPeriodontics Vienna, VA NPI 1588898266
- Ronald M. Rosenberg, DDSPeriodontics Vienna, VA NPI 1609283373
- Eunseok Oh, D.D.SPeriodontics Vienna, VA NPI 1831306844
About NPI 1316096480
Michael Lawrence Gannon, DMD's National Provider Identifier is 1316096480, issued on Jan 9, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Vienna, VA. The record was last updated on Jul 8, 2007.