IndividualActive
Nellie Gannon, DMD
NPI 1710480876 · General Practice Dentistry · Boston, MA
Nellie Gannon, DMD is a General Practice Dentistry provider in Boston, MA (NPI 1710480876).
Provider details
- NPI number
- 1710480876
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 019.031842 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
850 Harrison Ave Fl 6
Boston, MA 02118-4001
Phone: (617) 414-4837
Street-level locationGet directions
Mailing address
46 Hereford St Apt 2f
Boston, MA 02115-2514
Registry dates
- Enumerated
- 2018-03-15
- Last updated
- 2023-06-20
- Certified
- 2023-05-17
Frequently asked questions
- What is Nellie Gannon's NPI number?
- Nellie Gannon's National Provider Identifier (NPI) is 1710480876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nellie Gannon's specialty?
- Nellie Gannon is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Nellie Gannon located?
- Nellie Gannon's practice location on file with NPPES is 850 Harrison Ave Fl 6, Boston, MA 02118-4001.
- What is Nellie Gannon's phone number?
- The practice phone number listed in the NPPES registry for Nellie Gannon is (617) 414-4837.
- Is Nellie Gannon's NPI active?
- Yes — Nellie Gannon's NPI (1710480876) is active in the NPPES registry as of the last update on 2023-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.