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DANIEL CANNON DDS ORAL AND MAXILLOFACIAL SURGERY NPI 1437438579


NPI Information

NPI: 1437438579
Provider Name: DANIEL CANNON, DDS, ORAL AND MAXILLOFACIAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4608 S HARVARD AVE
SUITE C
TULSA, OK
ZIP 74135
Phone: (918) 743-1351
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DANIEL CANNON, DDS, ORAL AND MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Tulsa, OK. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DANIEL CANNON, DDS, ORAL AND MAXILLOFACIAL SURGERY NPI is 1437438579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4608 S HARVARD AVE
SUITE C
TULSA, OK
ZIP 74135-913
Phone: (918) 743-1351
Fax: (918) 743-7329

The provider's authorized official is Daniel Simmonds Cannon .
The authorized official title is Owner and has the following contact phone number (918) 743-1351.

The enumeration date for this NPI number is 8/8/2011 and was last updated on 8/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery158ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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