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NPI 1740417583

IndividualActive

Brandon Cannon, D.D.S.

NPI 1740417583 · Oral and Maxillofacial Surgery (Dentist) · Chattanooga, TN

Provider details

NPI number: 1740417583
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes
License: 9008 (TN)

Practice location

2290 Ogletree Ave Ste 104

Chattanooga, TN 37421-8828

Phone: (423) 598-1511

More TN providers

Mailing address

2290 Ogletree Ave Ste 104

Chattanooga, TN 37421-8828

Registry dates

Enumerated: 2009-06-19
Last updated: 2020-11-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brandon Cannon, D.D.S. — NPI 1740417583, Chattanooga, TN | NPI Central