Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dylan Jace Cannon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770104812

Dr. Dylan Jace Cannon, MD is a Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 Stanton L Young Blvd # 3422
Oklahoma City, OK 73104-5018
Phone: (405) 271-4426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 39531 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770104812
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

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