Mark Smith Cannon is a Dentist in Boulder, Colorado. Mark Smith Cannon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Smith Cannon is 1083813810. The last update date is 2007-07-12.
Mark Smith Cannon's current location address is 3400 Arapahoe Ave, Boulder, Colorado. You can contact this provider via phone number 3034442129 and fax number 3034138145. The mailing address for Mark Smith Cannon is 3400 Arapahoe Ave, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Smith Cannon |
|---|---|
| Address | 3400 Arapahoe Ave, Boulder, Colorado |
| Phone Number | 3034442129 |
| Fax Number | 3034138145 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1083813810 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 3400 Arapahoe Ave |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803031023 |
| Phone Number | 3034442129 |
| Fax Number | 3034138145 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9352 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Mark Smith Cannon by the Centers for Medicare & Medicaid Services?
The Mark Smith Cannon has been assigned the NPI (National Provider Identifier) 1083813810 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mark Smith Cannon's facilities are geographically located?
The facilities of Mark Smith Cannon are physically situated at the following location: 3400 Arapahoe Ave, Boulder, CO, 803031023.
What is Mark Smith Cannon's area of expertise and its corresponding taxonomy classification?
The Mark Smith Cannon's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark Smith Cannon receive its 1083813810 assignment from the Centers for Medicare & Medicaid Services?
The Mark Smith Cannon was assigned its 1083813810 by the Centers for Medicare & Medicaid Services on 2007-07-12.
When was the information related to Mark Smith Cannon most recently updated or refreshed?
The details pertaining to the Mark Smith Cannon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-12.