NPI 1255466702 · live from the CMS NPI Registry
James L. Cannon, DDS,MS
Dentist, Orthodontics and Dentofacial Orthopedics in Clermont, GA. National Provider Identifier 1255466702, active.
NPI record
| NPI | 1255466702 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 5297 Cleveland Hwy, Clermont, GA 30527 |
| Practice phone | 770-983-7633 |
| Enumerated | February 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 6721 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.