DR. MICHAEL LAWRENCE GANNON


Address: 138 Church St Ne, Vienna, VA 22180-4543
Phone: 7039386022

DR. MICHAEL LAWRENCE GANNON (NPI# 1316096480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316096480
Entity Type Individual
Full Name DR. MICHAEL LAWRENCE GANNON
Credential D.M.D.
Practice Address 138 Church St Ne
Vienna
VA 22180-4543
Practice Telephone 7039386022
Practice Fax Number 7039386039
Mailing Telephone 7039386022
Mailing Fax Number 7039386039
Enumeration Date 2007-01-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
6214 VA Dental Providers

Other Providers MICHAEL GANNON

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1033623111 Michael James Gannon Pharmacist 833 S Wood St Fl 3, Chicago, IL 60612-7229 2017-11-27
1962809699 Michael Walsh Gannon Counselor 109 Cloud Touch Ct, Roseville, CA 95747-7116 2014-11-24
1225441215 Michael Gannon Family Medicine 2531 Landmark Dr Ste 103, Clearwater, FL 33761-3928 2014-06-06
1194086041 Michael Patrick Gannon Internal Medicine 3509 N Broad St, Philadelphia, PA 19140-4105 2012-06-06
1366582710 Michael J Gannon Internal Medicine 2741 Wheaton Way, Bremerton, WA 98310-3344 2007-02-07
1790704856 Michael Kevin Gannon Orthopaedic Surgery 2979 Squalicum Pkwy, Suite #203, Bellingham, WA 98225-1811 2006-07-19
1528060654 Michael James Gannon Family Medicine 11452 Space Center Blvd, Houston, TX 77059 2005-08-10

Office Location

Street Address 138 CHURCH ST NE
City VIENNA
State VA
Zip Code 22180-4543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255334199 Howard Thomas Lenz Jr. Dentist 138 Church St Ne, Vienna, VA 22180-4543 2005-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023519386 Erika Ruiz Dentist Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 2018-02-22
1992220206 John Alexander Massage Therapist 122 Maple Ave W, Vienna, VA 22180 2017-08-08
1548620214 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 2675 Avenir Place, Vienna, VA 22180 2016-02-24
1992163190 Peter J Mcgarry Chiropractor 301 Maple Ave. W. Ste 515, Vienna, VA 22180 2016-02-02
1629479563 Jaimie Vettichira Samuel Pediatrics 100 East St Se Ste 301, Vienna, VA 22180 2014-09-10
1326454562 N R Emad Dds PC Dentist 307 F Maple Ave. W #100, Vienna, VA 22180 2014-07-09
1881020568 Albert Juan Garcia Obstetrics & Gynecology 926 Fairway Dr., N.e., Vienna, VA 22180 2013-09-25
1295174662 Sallie Twentyman Social Worker 129 Park St Ne Ste 12b, Vienna, VA 22180 2013-06-19
1124390992 Gilda T. Clarke Counselor 133 Park St. Ne, Vienna, VA 22180 2012-02-08
1740573898 Metro Eyes LLC Technician/Technologist 256 E Maple Avenue, Vienna, VA 22180 2011-05-24
Find all providers in zip 22180

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588898266 Keren Sperling Dentist 303 Maple Ave W Ste H, Vienna, VA 22180-4312 2009-05-08
1154409506 Jennifer Hilario Diaz Dentist 8230 Boone Blvd Ste 410, Vienna, VA 22182-2646 2006-11-02
1609283373 Ronald M Rosenberg Dentist 8308 Old Courthouse Rd, Vienna, VA 22182-3863 2014-07-15
1194935601 Michael Vincent Farr Dentist 301 Maple Ave W, Suite A, Vienna, VA 22180-4308 2007-05-23
1346258266 Farideh Iravani Dentist 1964 Gallows Rd, Suite 220, Vienna, VA 22182-3814 2006-08-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497361471 Lisa A. Marvil, D.m.d., P.l.l.c. Dentist 17341-b Pickwick Drive, Purcellville, VA 20132 2020-09-16
1720624307 Deena Hadithi Dmd, PC. Dentist 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 2019-11-19
1689223836 Alka Panwar Dentist 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 2019-09-10
1801445135 Neha Agarwal Dentist 23386 Epperson Sq, Brambleton, VA 20148-5794 2019-09-09
1164999181 Smba Dentistry, Pllc Dentist 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 2018-10-29
1750860516 Khashayar Kordbacheh Changi Dentist 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 2018-08-11
1205314309 Shivangi B Amin Dentist 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 2018-07-31
1881107100 New River Periodontics and Dental Implant Center, PC Dentist 2612 Sheffield Drive, Blacksburg, VA 24060 2017-11-08
1740793355 Amy Ton Dds Pllc Dentist 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 2017-11-06
1023539301 Denver James Lyons Dentist 521 N 11th St # 980566, Richmond, VA 23298-5045 2017-06-27
Find all providers with the same taxonomy

Competitor

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City VIENNA
Zip Code 22180

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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