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DR. NELLIE PATRICIA GANNON DMD
NPI 1710480876
Dentist - General Practice in Boston, MA

Active since March 15, 2018
850 HARRISON AVE FL 6, BOSTON, MA 02118(617) 414-4837 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2023, Apr 1, 2020, Mar 15, 2018 (3 updates tracked since 2018).

About Dr. Nellie Patricia Gannon Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NELLIE PATRICIA GANNON DMD (NPI 1710480876) is an individual general practice provider in Boston, Massachusetts, licensed in Massachusetts (DN1859799) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1710480876
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NELLIE PATRICIA GANNONCredential: DMD
Location Address850 HARRISON AVE FL 6Boston, MA 02118-4001
Mailing Address46 Hereford St Apt 2fBoston, MA 02115-2514 · (708) 254-4160
Phone(617) 414-4837
Sole ProprietorYes
Enumeration DateMarch 15, 2018
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1710480876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MA · DN1859799✔ Licensed in IL · 019.031842
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
850 HARRISON AVE FL 6, Boston, MA 02118
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEDIATRIX MBAMALU MD
Pediatrics
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-6335
IVY LEE
Student in an Organized Health Care Education/Training Program
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-4561
RACHEL EATON
Student in an Organized Health Care Education/Training Program
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-5245
DR. JAEGAK KIM D.M.D.
Dentist (Oral and Maxillofacial Surgery)
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-2243
AYA ABU-EL-HAIJA MD
Medical Genetics (Clinical Genetics (M.D.))
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-4841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nellie Gannon's NPI number?

The NPI number for Nellie Gannon is 1710480876. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Nellie Gannon located?

Nellie Gannon practices at 850 Harrison Ave Fl 6, Boston, MA 02118. The listed phone number is (617) 414-4837.

What is Nellie Gannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Nellie Gannon was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.