| 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  | 
Sydney Mcabee,  Dentist Medicare: Not Enrolled in Medicare Practice Location: 219 Princeton Rd, Johnson City, TN 37601 Phone: 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  |