Individual provider · Type 1 NPI

Nellie Patricia Gannon, DMD

General Practice Dentistry · Boston, MA

NPI number 1710480876 Active

Practice location

850 Harrison Ave Fl 6
Boston, MA 02118-4001

Mailing address

46 Hereford St Apt 2F
Boston, MA 02115-2514

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X019.031842 (IL)
General Practice Dentistry Primary 1223G0001XDN1859799 (MA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5 other providers at this address

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About NPI 1710480876

Nellie Patricia Gannon, DMD's National Provider Identifier is 1710480876, issued on Mar 15, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boston, MA. The record was last updated on Jun 20, 2023.