Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Smith Cannon, DMD

Individual provider Dentist · NPI 1083813810

Dr. Mark Smith Cannon, DMD is a Dentist in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3400 Arapahoe Ave
Boulder, CO 80303-1023
Phone: (303) 444-2129
Fax: (303) 413-8145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9352 (CO)

Record details

NPI number1083813810
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESJuly 12, 2007
Mailing address3400 Arapahoe Ave, Boulder, CO 80303-1023

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