Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nellie Patricia Gannon, DMD

Individual provider General Practice Dentistry · NPI 1710480876

Dr. Nellie Patricia Gannon, DMD is a General Practice Dentistry in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Illinois and Massachusetts.

Licensed in
IL, MA
In the registry since
2018
Specialties on file
2
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

850 Harrison Ave Fl 6
Boston, MA 02118-4001
Phone: (617) 414-4837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN1859799 (MA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019.031842 (IL)

Record details

NPI number1710480876
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 15, 2018
Last updated in NPPESJune 20, 2023
Certification dateMay 17, 2023

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