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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1124428198

Matthew Cannavo, DMD is an Oral and Maxillofacial Surgery (Dentist) in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
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

7633 E Jefferson Ave Ste 70
Detroit, MI 48214-3730
Phone: (313) 499-4775
Fax: (313) 499-4953
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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 2901021268 (MI)

Record details

NPI number1124428198
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 27, 2014
Last updated in NPPESMarch 29, 2016
Mailing address7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730

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