Grant B. Cannon in Salt Lake City - Oral And Maxillofacial Surgery
Grant B. Cannon - NPI 1467678938
Grant B. Cannon is a Oral And Maxillofacial Surgery in Salt Lake City, Utah. Grant B. Cannon practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Grant B. Cannon is 1467678938. The last update date is 2021-11-11.
Grant B. Cannon's current location address is 4190 Highland Dr, Salt Lake City, Utah. You can contact this provider via phone number 8012729241 and fax number 8012779760. The mailing address for Grant B. Cannon is 4190 Highland Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grant B. Cannon |
|---|---|
| Address | 4190 Highland Dr, Salt Lake City, Utah |
| Phone Number | 8012729241 |
| Fax Number | 8012779760 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1467678938 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2021-11-11 |
Provider Mailing Address Detail
| Address | 4190 Highland Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841242600 |
| Phone Number | 8012729241 |
| Fax Number | 8012779760 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 133953 |
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Definition: The specialty of dentistry which includes 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. |
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Post Comment/ Review Below
What is the Grant B. Cannon's unique identification number?
The Grant B. Cannon has been assigned the NPI (National Provider Identifier) Number 1467678938 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Grant B. Cannon is located?
The Grant B. Cannon is situated at the following address: 4190 Highland Dr, Salt Lake City, UT, 841242600.
What is Grant B. Cannon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Grant B. Cannon is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
On what date did the Grant B. Cannon receive its 1467678938 assignment from the Centers for Medicare & Medicaid Services?
The Grant B. Cannon was assigned its 1467678938 by the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date were the Grant B. Cannon's details last updated?
The information pertaining to the Grant B. Cannon, including its address, specialty, and other details, was most recently updated on 2021-11-11.