Individual
DR. JOHN SHRADER CANNON
Active
Individual
DR. JOHN SHRADER CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS2752
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000516
ASSURANT #
TN
01
—
113786
CIGNA #
TN
01
—
2038634
AETNA #
TN
01
—
4079273
BLUE CROSS BLUE SHIELD
TN
01
—
532822
UNITED CONCORDIA #
TN
01
—
606051
COMPBENEFITS #
TN
Enumeration date
08/21/2006
Last updated
09/02/2009
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