Individual provider · Type 1 NPI

Mark L. Cannon, DDS, MS

Pediatric Dentistry · Long Grove, IL

NPI number 1891731121 Active

Practice location

4160 Rfd, Grove Medical Center, Suite 308
Long Grove, IL 60047-9583

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: 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.

5 other providers at this address

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About NPI 1891731121

Mark L. Cannon, DDS, MS's National Provider Identifier is 1891731121, issued on Jun 22, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Long Grove, IL. The record was last updated on Jul 8, 2007.