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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1467678938

Dr. Grant B. Cannon, DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4190 Highland Dr Ste 112
Salt Lake City, UT 84124-2600
Phone: (801) 272-9241
Fax: (801) 277-9760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 133953 (UT)

Record details

NPI number1467678938
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

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