1. Home
  2. Directory
  3. Illinois
  4. La Grange Park
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

COLTON CANNON
NPI 1801590807
Dentist in La Grange Park, IL

Active since March 27, 2023
539 N LA GRANGE RD, LA GRANGE PARK, IL 60526(708) 354-1070 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Mar 28, 2023 (2 updates tracked since 2023).

About Colton Cannon NPPES

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

COLTON CANNON (NPI 1801590807) is an individual dentist in La Grange Park, Illinois, licensed in Illinois (019.035872) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1801590807
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCOLTON CANNON
Location Address539 N LA GRANGE RDLa Grange Park, IL 60526-5647
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238
Phone(708) 354-1070
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1801590807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.035872
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.
539 N LA GRANGE RD, La Grange Park, IL 60526
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

WEBSTER DENTAL CARE
Dentist (General Practice)
539 N LA GRANGE RD, SUITE 1
LA GRANGE PARK, IL 60526
Cook County (708) 354-1070
DR. JONA TJEERDEMA DMD
Student in an Organized Health Care Education/Training Program
539 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 354-1070
INNA SYDORAK
Dentist (Orthodontics and Dentofacial Orthopedics)
539 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 354-1070
MICHAEL KASPER DDS
Dentist (General Practice)
539 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 354-1070

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 Colton Cannon's NPI number?

The NPI number for Colton Cannon is 1801590807. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Colton Cannon located?

Colton Cannon practices at 539 N La Grange Rd, La Grange Park, IL 60526. The listed phone number is (708) 354-1070.

What is Colton Cannon's specialty?

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

When was this NPI record last updated?

The NPPES record for Colton Cannon was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.