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:
Health care specialties
| Specialty | Code | License # | 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 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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