Colton Cannon
Colton Cannon is a Dentist in LA Grange Park, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
539 N La Grange RdLA Grange Park, IL 60526-5647
Phone: (708) 354-1070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019.035872 (IL) |
|---|
Record details
| NPI number | 1801590807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2023 |
| Last updated in NPPES | July 9, 2026 |
| Certification date | July 9, 2026 |
| Mailing address | 3400 Spruce St, Philadelphia, PA 19104-4238 |
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