DR. Russell Wayne Cannon, D.D.S. is a general practice dentist in Irvine, CA. The provider is 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. DR. Russell Wayne Cannon, D.D.S. NPI is 1649387986. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
14150 CULVER DR STE 200
IRVINE, CA
ZIP 92604-322
Phone: (949) 552-7874
Fax: (949) 552-7047
The NPI 1649387986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/8/2007.