Dr Mark L Cannon, DDS, MS - Dentist in Long Grove, IL

Dr Mark L Cannon, DDS, MS is a Dentist - Pediatric Dentistry based in Long Grove, Illinois. Dr Mark L Cannon is licensed to practice in Illinois (license number ) and his current practice location is 4160 Rfd, Grove Medical Center, Suite 308, Long Grove, Illinois. He can be reached at his office (for appointments etc.) via phone at (847) 634-6166.

NPI number for Dr Mark L Cannon is 1891731121 and his current mailing address is 4160 Rfd, Grove Medical Center, Long Grove, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891731121.

Contact Information

Dr Mark L Cannon, DDS, MS
4160 Rfd, Grove Medical Center, Suite 308,
Long Grove, IL 60047-9583
(847) 634-6166
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Mark L Cannon
GenderMale
SpecialityDentist - Pediatric Dentistry
Location4160 Rfd, Long Grove, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891731121
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Mark L Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891731121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark L Cannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark L Cannon, DDS, MS
4160 Rfd, Grove Medical Center,
Long Grove, IL 60047-9586

Ph: (847) 634-6166
Dr Mark L Cannon, DDS, MS
4160 Rfd, Grove Medical Center, Suite 308,
Long Grove, IL 60047-9583

Ph: (847) 634-6166

Reviews and Comments


Dentist in Long Grove, IL

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Phone: 847-634-0808    Fax: 847-634-1669
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Medicare: Medicare Enrolled
Practice Location: 4160 Il-83, Ste 308, Long Grove, IL 60047
Phone: 847-634-6166    

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