Liston-Gannon, Patricia

Liston-Gannon, Patricia is an sole proprietor health care provider with primary practice located at 15300 West Ave Suite 110, Orland Park IL 60462-4600. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Liston-Gannon, Patricia can be contacted via phone (708) 403-3330.

Contact Information

Primary practice address
15300 West Ave Suite 110 Orland Park IL 60462-4600
Phone: (708) 403-3330
Fax: (708) 403-5762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Illinois

Profile Details

NPI number 1982814125
LBN Legal business name Liston-Gannon, Patricia
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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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