Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710480876 Individual Practitioner Female Practitioner

Dr. Nellie Patricia Gannon , DMD

Dentist - General Practice • Boston, MA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Nellie Gannon, DMD is a registered healthcare professional specializing in Dentist - General Practice in Boston, MA. Official NPI practice address is registered at 850 HARRISON AVE FL 6.

Practice Location & Contact Primary Location

Practice Address

850 Harrison Ave Fl 6

Boston, MA 021184001

Telephone 6174144837

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
402 Specialists

Practicing in Boston, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1859799

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019.031842

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Nilava Ghatak , DDS

Dentist - Pediatric Dentistry

NPI 1710238712

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 20, 2023

Registered at 850 HARRISON AVE FL 6, BOSTON, MA 021184001 (Tel: 6174144837)

📍
Updated Business Mailing Address June 20, 2023

Registered at 46 HEREFORD ST APT 2F, BOSTON, MA 021152514 (Tel: 7082544160)

📍
Updated Practice Location April 01, 2020

Registered at 615 DERBY ST, CHATTANOOGA, TN 374041632 (Tel: 4236649432)

📍
Updated Business Mailing Address April 01, 2020

Registered at 20 CHEROKEE BLVD APT 406, CHATTANOOGA, TN 374054454 (Tel: 7082544160)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2020

Dentist (License #019.031842 in IL)

NPI Profile Active March 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2018

Registered at 4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 402163987 (Tel: 7082544160)

📍
Updated Business Mailing Address March 15, 2018

Registered at 1427 EVERETT AVE APT 2, LOUISVILLE, KY 402042228 (Tel: 7082544160)

👤
Provider Name / Credentials Updated March 15, 2018

Recorded as NELLIE GANNON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710480876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2018
Last Update: June 20, 2023
Sole Proprietor: Yes

Mailing Address

46 Hereford St Apt 2f

Boston, MA 021152514

Phone: 7082544160

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.