Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK L CANNON, DDS, MS
ActiveDR. MARK L CANNON, DDS, MS is a Pediatric Dentistry healthcare provider located in LONG GROVE, Illinois. NPI 1891731121 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LONG GROVE, IL
Registration Details
- NPI Number
- 1891731121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.103250544824 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
4160 RFDGROVE MEDICAL CENTER, SUITE 308LONG GROVE, IL, 600479583Browse IL providers · Browse ZIP 60047
- Phone
- 8476346166
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in LONG GROVE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH A TYLKA | DDS | 1730290685 |
| PRIYA KATWALA | — | 1720583545 |
| YIRAN XU | DMD | 1376127092 |
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.