Mark L. Cannon, DDS, MS
Pediatric Dentistry · Long Grove, IL
Practice location
4160 RFDGrove Medical Center, Suite 308
Long Grove, IL 60047-9583
- Phone
- (847) 634-6166
NPI record
- NPI
- 1891731121
- Entity type
- Individual (Type 1)
- Enumeration date
- June 22, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X |
— | IL |
Mailing address
4160 RFDGrove Medical Center
Long Grove, IL 60047-9586
- Phone
- (847) 634-6166
About Dr. Cannon
Mark L. Cannon, DDS, MS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 4160 RFD, Grove Medical Center, Suite 308, Long Grove, IL 60047-9583. The NPI number 1891731121 was assigned on June 22, 2006 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Mark L. Cannon, DDS, MS?
The NPI number is 1891731121.
What is the phone number of Dr. Cannon?
The phone number listed for the practice location is (847) 634-6166.
Where is Dr. Cannon located?
4160 RFD, Grove Medical Center, Suite 308, Long Grove, IL 60047-9583.
What is the taxonomy code for Dr. Cannon?
The primary taxonomy code is 1223P0221X – Pediatric Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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