Individual provider · Type 1 NPI

Scott Cannon, DMD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1760074488 Active

Practice location

Ut Southwestern Medical Center 5200 Harry Hines Blvd
Dallas, TX 75390-0001

Call (214) 645-3979 Map

Fax (214) 648-7620

Mailing address

203 Berkshire Dr
Princeton, NJ 08540-9467

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760074488

Scott Cannon, DMD's National Provider Identifier is 1760074488, issued on Feb 4, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Feb 4, 2021.