Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Lawrence Gannon, DMD

Individual provider Periodontics · NPI 1316096480

Dr. Michael Lawrence Gannon, DMD is a Periodontics in Vienna, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

138 Church St NE
Vienna, VA 22180-4543
Phone: (703) 938-6022
Fax: (703) 938-6039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 6214 (VA)

Record details

NPI number1316096480
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address138 Church St Ne, Vienna, VA 22180-4543

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