Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMENIC MICHAEL CANONICO, M.D.
ActiveDOMENIC MICHAEL CANONICO, M.D. is a Plastic Surgery within the Head & Neck healthcare provider located in TULLAHOMA, Tennessee. NPI 1770551640 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · TULLAHOMA, TN
Registration Details
- NPI Number
- 1770551640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2006 (20.246894872704 yrs)
- Last Updated
- Jul 14, 2015
- License
-
18819 (TN)
Practice Information
- Address
-
507 NW ATLANTIC STTULLAHOMA, TN, 373883504Browse TN providers · Browse ZIP 37388
- Phone
- 9313934332
- Fax
- 9313932304
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.