NPI 1013116979

Christopher M Cannon, DMD

Practitioner Dentist Idaho Falls, ID

Practice location

Address: 3550 Washington Pkwy, Idaho Falls, ID 83404-4968
Phone: (208) 524-2300
Fax: (208) 545-8447

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D4702 (ID)

Other Dentist providers in Idaho →

Dentist

Dental Providers Taxonomy 122300000X Licence 9460 (CO)

Registry record

NPI: 1013116979
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.