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Dr. Mark L Cannon, DDS,MS
Pediatric Dentist in Long Grove, Illinois
NPI 1891731121

Mark L Cannon is a Pediatric Dentist based in Long Grove, IL and is specialized in Pediatric Dentistry. Mark L Cannon practices in Long Grove, IL and has the professional credentials of DDS,MS. The NPI Number for Mark L Cannon is 1891731121 and holds a License No. (Illinois).

The current practice location address for Mark L Cannon is 4160 Rfd, Long Grove, IL and can be reached out via phone at 847-634-6166.

Location: 4160 Rfd, Long Grove, IL, 60047-9586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891731121
Provider Name
Mark L Cannon
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
4160 Rfd, Long Grove, IL, 60047-9586
Phone Number
847-634-6166
Fax Number
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4160 Rfd
City
Long Grove
State
Illinois
Zip
60047-9583
Phone Number
847-634-6166
Fax Number
person
Provider Business Mailing Address Details
Address
4160 Rfd
City
Long Grove
State
Illinois
Zip
60047-9583
Phone Number
847-634-6166
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Illinois)
Definition
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.
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