Lester W Cannon DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1364589922 Issued in UT

Legal business name

LESTER W CANNON DDS PC

Practice address

1935 E 5600 S
Salt Lake City, UT 84121-1351

Phone

(801) 277-4049

Fax

(801) 277-9773

NPI assigned

Apr 26, 2007

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lester W Cannon, D.D.S.NPI 1326305517

Title

Owner

Phone

(801) 277-4049

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lester William Cannon, D.D.S.

  • Dentist
  • Midvale, UT
  • NPI 1326305517
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1427278019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 E 5600 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211351",
            "telephone_number": "801-277-4049",
            "fax_number": "801-277-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 E 5600 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211351",
            "telephone_number": "801-277-4049",
            "fax_number": "801-277-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER W CANNON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-277-4049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "1364589922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528689625000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rob Lequia
• Kurt Leschke
• Brooke Lesley, LCSW
• Cecilia Lesmes
• Ruben Melvin Swerdlow Lesnick, MD
• Emma Victoria Lester
• Jaxson Lesueur
• Stacy Lesueur, DNP, FNP-C, CRNA
• Addison Taylor Leszynski
• Let's Talk Speech and Language Services, LLC

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.