Kevin Gannon in Perrysburg - General Practice

Kevin Gannon - NPI 1114141603

Kevin Gannon is a General Practice in Perrysburg, Ohio. Kevin Gannon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Gannon is 1114141603. The last update date is 2007-07-08.

Kevin Gannon's current location address is 880 Commerce Dr, Perrysburg, Ohio. You can contact this provider via phone number 4198743129 and fax number 4198745007. The mailing address for Kevin Gannon is 880 Commerce Dr, Perrysburg, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Gannon
Address 880 Commerce Dr, Perrysburg, Ohio
Phone Number 4198743129
Fax Number 4198745007
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1114141603
Provider Enumeration Date 2007-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 880 Commerce Dr
City Perrysburg
State Ohio (OH)
Post Code 435515240
Phone Number 4198743129
Fax Number 4198745007

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 17571
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.

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FAQs about Kevin Gannon

What is the unique 10-digit identification code issued to Kevin Gannon by the Centers for Medicare & Medicaid Services?

The Kevin Gannon has been assigned the NPI (National Provider Identifier) 1114141603 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Kevin Gannon is physically located?

The Kevin Gannon is situated at the following address: 880 Commerce Dr, Perrysburg, OH 435515240.

What is Kevin Gannon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kevin Gannon's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1114141603 to Kevin Gannon?

The Centers for Medicare & Medicaid Services assigned the 1114141603 to Kevin Gannon on 2007-04-13.

As of what date were the details pertaining to Kevin Gannon last refreshed?

The information related to the Kevin Gannon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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