Individual
ANSLEY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2200 KINGS HWY UNIT 3I, PORT CHARLOTTE, FL 33980-5761
(941) 866-8011
Mailing address
1327 SW 3RD AVE, CAPE CORAL, FL 33991-8035
(863) 202-6269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29109
FL
Other
Enumeration date
06/20/2024
Last updated
01/23/2025
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