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

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