# DR. MOLLY ROWE GANNON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083791784
- **Gender:** F
- **Credential:** DDS, PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2066 | MT | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 10/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20664 | BLUE CROSS PROVIDER NUMBE | MT |
| 05 | — | 5511948 | — | MT |