Individual provider · Type 1 NPI

Colton Cannon

Dentist · La Grange Park, IL

NPI number 1801590807 Active

Practice location

539 N La Grange Rd
La Grange Park, IL 60526-5647

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.035872 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1801590807

Colton Cannon's National Provider Identifier is 1801590807, issued on Mar 27, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in La Grange Park, IL. The record was last updated on Jul 9, 2026.