Lester W Cannon Dds Pc

LBN: Lester W Cannon Dds Pc
Lester W Cannon Dds Pc is an health care organization with primary practice located at 1935 E 5600 S , Salt Lake City UT 84121-1351. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lester W Cannon Dds Pc can be contacted via phone (801) 277-4049, or through Cannon, Lester W via phone (801) 277-4049.

Contact Information

Primary practice address
1935 E 5600 S Salt Lake City UT 84121-1351
Phone: (801) 277-4049
Fax: (801) 277-9773
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Lester W Doctor of Dental Surgery (DDS)
Phone: (801) 277-4049

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1364589922 Utah

Profile Details

NPI number 1427278019
LBN Legal business name Lester W Cannon Dds Pc
DBA Doing business as
Authorized official Cannon, Lester W Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Apr 12th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427278019 NPPES
Utah MEDICAID 528689625000

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