Russell Cannon, DMD
NPI 1306254446 · on the registry since 2014
Practice
- Address
- 2045 Village Center Cir
Las Vegas, NV 89134 - Phone
- (702) 878-5599
- Fax
- (702) 878-0173
- Organisation at this address
- Wagner Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada