Cannon, Grant B.
Cannon, Grant B. is an individual health care provider with primary practice located at 4190 Highland Dr Suite 112, Salt Lake City UT 84124-2600. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cannon, Grant B. can be contacted via phone (801) 272-9241.Contact Information
Primary practice address
4190 Highland Dr Suite 112
Salt Lake City UT 84124-2600
Phone: (801) 272-9241
Fax: (801) 277-9760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 133953 | Utah |
Profile Details
| NPI number | 1467678938 |
|---|---|
| LBN Legal business name | Cannon, Grant B. |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Nov 11th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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