Grant Cannon, D.D.S., M.D

NPI 1467678938 · on the registry since 2007

Practice

Address: 4190 Highland Dr
Suite 112
Salt Lake City, UT 84124
Phone: (801) 272-9241
Fax: (801) 277-9760
Organisation at this address: Karl E Seashore, Lpc, Pc
Bruce K Jacobson Ph D P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-11-11

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 Utah