DR. PATRICIA LISTON-GANNON D.D.S. NPI 1982814125

NPI Information

  • NPI: 1982814125
  • Provider Name: DR. PATRICIA LISTON-GANNON, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 15300 WEST AVE
    SUITE 110
    ORLAND PARK, IL
    ZIP 60462
  • Phone: (708) 403-3330

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NPI Details

DR. Patricia Liston-gannon, D.D.S. is a pediatric dentistry dentist in Orland Park, IL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Patricia Liston-gannon, D.D.S. NPI is 1982814125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15300 WEST AVE
SUITE 110
ORLAND PARK, IL
ZIP 60462-600
Phone: (708) 403-3330
Fax: (708) 403-5762

The enumeration date for this NPI number is 5/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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