DR. MARK L CANNON DDS, MS
NPI 1891731121
Dentist - Pediatric Dentistry in Long Grove, IL

Q: What is Mark Cannon's NPI number?

The NPI number for Mark Cannon is 1891731121. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Mark Cannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Mark Cannon was last updated on July 8, 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 June 22, 2006

4160 RFD, GROVE MEDICAL CENTER, SUITE 308, LONG GROVE, IL 60047(847) 634-6166 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mark L Cannon Dds, Ms NPPES

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

DR. MARK L CANNON DDS, MS (NPI 1891731121) is an individual pediatric dentistry provider in Long Grove, Illinois and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1891731121

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. MARK L CANNONCredential: DDS, MS

Location Address4160 RFD, GROVE MEDICAL CENTER, SUITE 308Long Grove, IL 60047-9583

Mailing Address4160 Rfd, Grove Medical CenterLong Grove, IL 60047-9586 · (847) 634-6166

Phone(847) 634-6166

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1891731121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4160 RFD, Long Grove, IL 60047

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Other Providers at the Same Location NPPES 5

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

DR. HAROUT JAMES AKMAKJIAN DMD

Dentist (General Practice)

4160 RFD
LONG GROVE, IL 60047

Lake County (847) 634-0808

DR. SAM AKMAKJIAN DDS

Dentist (General Practice)

4160 RFD, SUITE 102
LONG GROVE, IL 60047

Lake County (847) 634-0808

DR. MAHABLESHWAR VASSANT PALONDIKAR M.D.

Family Medicine

4160 RFD, SUITE 306
LONG GROVE, IL 60047

Lake County (847) 634-2333

M PALONDIKAR MD PC

Family Medicine

4160 RFD, SUITE 306
LONG GROVE, IL 60047

Lake County (847) 634-2333

DR. JOSEPH A TYLKA DDS

Dentist (Pediatric Dentistry)

4160 RFD
LONG GROVE, IL 60047

Lake County (847) 634-6166

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 1891731121. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Mark Cannon located?

Mark Cannon practices at 4160 Rfd Grove Medical Center, Suite 308, Long Grove, IL 60047. The listed phone number is (847) 634-6166.

What is Mark Cannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Mark Cannon was last updated on July 8, 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.