DR. MARK SMITH CANNON D.M.D.
NPI 1083813810
Dentist in Boulder, CO

Q: What is Mark Cannon's NPI number?

The NPI number for Mark Cannon is 1083813810. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Q: What is Mark Cannon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Cannon was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2007

3400 ARAPAHOE AVE, BOULDER, CO 80303(303) 444-2129(303) 413-8145 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark Smith Cannon D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK SMITH CANNON D.M.D. (NPI 1083813810) is an individual dentist in Boulder, Colorado, licensed in Colorado (9352) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1083813810

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MARK SMITH CANNONCredential: D.M.D.

Location Address3400 ARAPAHOE AVEBoulder, CO 80303-1023

Mailing Address3400 Arapahoe AveBoulder, CO 80303-1023 · (303) 444-2129 · Fax (303) 413-8145

Phone(303) 444-2129

Fax(303) 413-8145

Sole ProprietorNo

Enumeration DateJuly 12, 2007

✔ NPI 1083813810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CO · 9352

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3400 ARAPAHOE AVE, Boulder, CO 80303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TODD HAMILTON DMD

Dentist (General Practice)

3400 ARAPAHOE AVE
BOULDER, CO 80303

Boulder County (303) 444-2129

BOULDER DENTAL PATNERS LLP

Dentist

3400 ARAPAHOE AVE
BOULDER, CO 80303

Boulder County (303) 444-2129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Cannon's NPI number?

The NPI number for Mark Cannon is 1083813810. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Mark Cannon located?

Mark Cannon practices at 3400 Arapahoe Ave, Boulder, CO 80303. The listed phone number is (303) 444-2129.

What is Mark Cannon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mark Cannon accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 11 other insurers list Mark Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Cannon was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.