Richard R Cannon in Huntsville - Pediatric Dentistry
Richard R Cannon - NPI 1962526285
Richard R Cannon is a Pediatric Dentistry in Huntsville, Alabama. Richard R Cannon practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Richard R Cannon is 1962526285. The last update date is 2007-07-08.
Richard R Cannon's current location address is 1110 Meridian St N, Huntsville, Alabama. You can contact this provider via phone number 2564287276 and fax number 2564287259. The mailing address for Richard R Cannon is 1110 Meridian St N, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard R Cannon |
|---|---|
| Address | 1110 Meridian St N, Huntsville, Alabama |
| Phone Number | 2564287276 |
| Fax Number | 2564287259 |
| Sole Proprietor | N |
| Credentials | DDS,MS |
NPI Number Detail
| NPI Number | 1962526285 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1110 Meridian St N |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358014636 |
| Phone Number | 2564287276 |
| Fax Number | 2564287259 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | AL2505 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51517174 | AL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Richard R Cannon by the Centers for Medicare & Medicaid Services?
The Richard R Cannon has been assigned the NPI (National Provider Identifier) 1962526285. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Richard R Cannon is physically located?
The Richard R Cannon is physically situated at the following address: 1110 Meridian St N, Huntsville, AL, 358014636.
What is Richard R Cannon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard R Cannon's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did the Richard R Cannon receive its 1962526285?
The Richard R Cannon was issued its 1962526285 on 2007-03-19, which is the date when the organization was assigned this unique identifier.
When was the Richard R Cannon's information last updated?
The Richard R Cannon's information was last updated on 2007-07-08.