James L. Cannon, DDS,MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Clermont, GA
NPI 1255466702 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255466702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 6721 (GA)
- Practice address
- 5297 Cleveland Hwy
Clermont, GA 30527-2205 - Phone
- (770) 983-7633
- Fax
- (770) 983-7884
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6721 | GA | Yes |
Addresses
Primary practice location
5297 Cleveland Hwy
Clermont, GA 30527-2205
Mailing address
5297 Cleveland Hwy
Clermont, GA 30527-2205
Phone (770) 983-7633
Other providers in Clermont, GA
- Jennifer Lynn Bartlett
- Jordan Benfield
- Anna Matthews Black
- Alyssa Brooksher
- Theda Burchardt
- Lori Allyson Cantrell
- Amy Elaine Crawford
- Tiffany Sims Dale
- Ashlyn English
- Nancy Elizabeth Fisher
All providers in Clermont, GA · Orthodontics and Dentofacial Orthopedics Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.