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Dr. Russell Wayne Cannon, DDS
General Practice Dentistry in Irvine, California
NPI 1649387986

Russell Wayne Cannon is a General Practice Dentistry based in Irvine, CA and is specialized in General Practice. Russell Wayne Cannon practices in Irvine, CA and has the professional credentials of DDS. The NPI Number for Russell Wayne Cannon is 1649387986 and holds a License No. D24279 (California).

The current practice location address for Russell Wayne Cannon is 14150 Culver Dr Ste 200, Irvine, CA and can be reached out via phone at 949-552-7874 and via fax at 949-552-7047.

Location: 14150 Culver Dr Ste 200, Irvine, CA, 92604-0322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649387986
Provider Name
Russell Wayne Cannon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
14150 Culver Dr Ste 200, Irvine, CA, 92604-0322
Phone Number
949-552-7874
Fax Number
949-552-7047
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14150 Culver Dr Ste 200
City
Irvine
State
California
Zip
92604-0322
Phone Number
949-552-7874
Fax Number
949-552-7047
person
Provider Business Mailing Address Details
Address
14150 Culver Dr Ste 200
City
Irvine
State
California
Zip
92604-0322
Phone Number
949-552-7874
Fax Number
949-552-7047
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D24279 (California)
Definition
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.
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