IndividualActive
Daniel Cannon
NPI 1013176098 · Oral and Maxillofacial Surgery (Dentist) · Tulsa, OK
Provider details
- NPI number
- 1013176098
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 158 (OK)
Specialties & taxonomies
Dental Providers
Practice location
3345 S Harvard Ave Ste 103
Tulsa, OK 74135-1800
Phone: (918) 743-1351
Fax: (918) 743-7329
Approximate (ZIP-level) locationGet directions
Mailing address
3345 S Harvard Ave Ste 103
Tulsa, OK 74135-1800
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.