Daniel Cannon, DDS, Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

158 Issued in IL

Legal business name

DANIEL CANNON, DDS, ORAL AND MAXILLOFACIAL SURGERY

Practice address

4608 S Harvard Ave
Suite C
Tulsa, OK 74135-2913

Phone

(918) 743-1351

Fax

(918) 743-7329

NPI assigned

Aug 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Simmonds Cannon, DDS

Title

Owner

Phone

(918) 743-1351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1437438579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 S HARVARD AVE",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352913",
            "telephone_number": "918-743-1351",
            "fax_number": "918-743-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 S HARVARD AVE",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352913",
            "telephone_number": "918-743-1351",
            "fax_number": "918-743-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL CANNON, DDS, ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SIMMONDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-743-1351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Dang
• Linh Dang, M.D.
• Gulshan Dangol, M.D.
• Dani Hurd Healthcare and Consulting LLC
• Daniel & Max, LLC
• Bobby N Daniel, DO
• Bryan Randall Daniel
• Harrison Allen Daniel, MD
• Katlin Daniel, RN
• Mark Ross Daniel, M.S., L.P.C.

• Oral and Maxillofacial Surgery (Dentist) in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.