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

MS. Olivia Nicole Gannon, DDS

Individual provider General Practice Dentistry · NPI 1033201397

MS. Olivia Nicole Gannon, DDS is a General Practice Dentistry in Johnson City, Tennessee. Licensed in Tennessee and Virginia. Registered with an NPI since 2006.

Licensed in
TN, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

219 Princeton Rd
Johnson City, TN 37601
Phone: (423) 975-2200
Fax: (423) 975-2210
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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 DS9546 (TN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 0401411537 (VA)

Record details

NPI number1033201397
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESFebruary 22, 2019

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