DR. BRANDON K. CANNON (NPI# 1740417583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740417583 |
| Entity Type | Individual |
| Full Name | DR. BRANDON K. CANNON |
| Credential | D.D.S. |
| Practice Address |
2290 Ogletree Ave Ste 104 Chattanooga TN 37421-8828 |
| Practice Telephone | 4235981511 |
| Mailing Telephone | 4235981511 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9008 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457484 | Brandon Nyguamy Cannon | Case Manager/Care Coordinator | 1901 Westbank Expy Ste 550, Harvey, LA 70058-4362 | 2020-11-05 |
| Street Address |
2290 OGLETREE AVE STE 104 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-8828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720472855 | Charles Baker Felts Iv | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 | 2015-03-26 |
| 1538230404 | Ivo Aaron Miller | Dentist | 6015 Shallowford Rd, Chattanooga, TN 37421-1688 | 2006-11-13 |
| 1720037500 | William David Fox | Dentist | 4110c Brainerd Rd, Chattanooga, TN 37411 | 2006-05-09 |
| 1679543912 | East Tn Facial Surgery, Inc | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2006-01-26 |
| 1467430538 | Roger William Childress | Dentist | 1350 Mackey Branch Drive, Suite 110, Chattanooga, TN 37421 | 2006-01-09 |
| 1356902639 | Riverbend Oral Surgery, LLC | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2196 | 2019-06-26 |
| 1851691281 | Childress & Meyer, Pllc | Dentist | 1350 Mackey Branch Drive, St. 110, Chattanooga, TN 37421-3482 | 2010-11-02 |
| 1124295480 | Chattanooga Oral & Maxillofacial Surgery, Plc | Dentist | 1720 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3192 | 2008-05-14 |
| 1265564660 | Thomas R Cook IIi | Dentist | 625 Morrison Springs Rd, Chattanooga, TN 37415-3401 | 2007-03-12 |
| 1689663692 | David Patrick Mcdonald | Dentist | 1720 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3192 | 2005-10-21 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on DR. BRANDON K. CANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.