| Ms Olivia Nicole Gannon, DDS | |
|
219 Princeton Road, Johnson City, TN 37601 | |
| (423) 975-2200 | |
| (423) 975-2210 |
| Full Name | Ms Olivia Nicole Gannon |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 219 Princeton Road, Johnson City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033201397 | NPI | - | NPPES |
| 9183867 | Other | VA | DORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411537 (Virginia) | Secondary |
| 1223G0001X | Dentist - General Practice | DS9546 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Olivia Nicole Gannon, DDS 219 Princeton Road, Johnson City, TN 37601 Ph: (423) 975-2200 | Ms Olivia Nicole Gannon, DDS 219 Princeton Road, Johnson City, TN 37601 Ph: (423) 975-2200 |
Dr. Matthew Sherban, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1021 W Oakland Ave Ste 109, Johnson City, TN 37604 Phone: 423-283-4555 | |
Dr. Laurel Ayres Meriwether, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Sunset Dr, Building A, Suite 3, Johnson City, TN 37604 Phone: 423-610-0556 | |
Steven George Bowers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1331 Milligan Hwy, Johnson City, TN 37601 Phone: 423-926-3311 Fax: 423-926-3311 | |
Dr. Stuart Laningham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 W Fairview Ave Ste 3, Johnson City, TN 37604 Phone: 423-410-3222 | |
Dr. Milton Keith Ellis, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2806 W Market St, Johnson City, TN 37604 Phone: 423-434-1370 Fax: 423-434-9965 | |
Michael Ryan Fuchs, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 508 Princeton Rd Ste 101, Johnson City, TN 37601 Phone: 423-282-2844 |