Individual
DR. BRANDON K. CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2290 OGLETREE AVE STE 104, CHATTANOOGA, TN 37421-8828
(423) 598-1511
Mailing address
2290 OGLETREE AVE STE 104, CHATTANOOGA, TN 37421-8828
(423) 598-1511
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9008
TN
Other
Enumeration date
06/19/2009
Last updated
11/05/2020
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