| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ERIK CANNON | 1073190633 | 2022-08-07 |
Erik Cannon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1073190633. Registration indicates Erik Cannon is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Dr. Erik Cannon DMD |
| Practice Office Address | 350 ROUTE 73 S MARLTON, NJ US |
| Practice Office Telephone | 8569837732 |
| Mailing Address | 59 GREENBRIAR DR DALLAS, PA 186129119 US |
| Business Telephone | 5705741982 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1200 Old York Rd | Abington, PA 190013720 | 2154812000 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 22DI02889900
NJ |