Individual provider · Type 1 NPI
Brandon K. Cannon, DDS
Oral and Maxillofacial Surgery (Dentist) · Chattanooga, TN
NPI number
1740417583
Active
Practice location
2290 Ogletree Ave Ste 104
Chattanooga, TN 37421-8828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 9008 (TN) |
Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1740417583
Brandon K. Cannon, DDS's National Provider Identifier is 1740417583, issued on Jun 19, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chattanooga, TN. The record was last updated on Nov 5, 2020.