Gannon, Michael Lawrence
Gannon, Michael Lawrence is an sole proprietor health care provider with primary practice located at 138 Church St Ne , Vienna VA 22180-4543. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gannon, Michael Lawrence can be contacted via phone (703) 938-6022.Contact Information
Primary practice address
138 Church St Ne
Vienna VA 22180-4543
Phone: (703) 938-6022
Fax: (703) 938-6039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 6214 | Virginia |
Profile Details
| NPI number | 1316096480 |
|---|---|
| LBN Legal business name | Gannon, Michael Lawrence |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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