Russell W. Cannon Dds Apc

LBN: Russell W. Cannon Dds Apc
Russell W. Cannon Dds Apc is an health care organization with primary practice located at 14150 Culver Dr Ste 200 , Irvine CA 92604-0322. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Russell W. Cannon Dds Apc can be contacted via phone (949) 552-7874, or through Cannon, Russell Wayne via phone (949) 552-7874.

Contact Information

Primary practice address
14150 Culver Dr Ste 200 Irvine CA 92604-0322
Phone: (949) 552-7874
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Russell Wayne Doctor of Dental Surgery (DDS)
Phone: (949) 552-7874

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1912544768
LBN Legal business name Russell W. Cannon Dds Apc
DBA Doing business as
Authorized official Cannon, Russell Wayne Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2019
Last updated Nov 27th, 2019 - about 5 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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