Individual provider · Type 1 NPI
Russell Wayne Cannon, DDS
General Practice Dentistry · Irvine, CA
NPI number
1649387986
Active
Practice location
14150 Culver Dr Ste 200
Irvine, CA 92604-0322
Fax (949) 552-7047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D24279 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
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About NPI 1649387986
Russell Wayne Cannon, DDS's National Provider Identifier is 1649387986, issued on Aug 24, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Irvine, CA. The record was last updated on Jul 8, 2007.