DR. Michael Lawrence Gannon, D.M.D. is a periodontics dentist in Vienna, VA. The provider is 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. DR. Michael Lawrence Gannon, D.M.D. NPI is 1316096480. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
138 CHURCH ST NE
VIENNA, VA
ZIP 22180-543
Phone: (703) 938-6022
Fax: (703) 938-6039
The NPI 1316096480 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/8/2007.