Colton Cannon is a La Grange Park, Illinois based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Colton Cannon is
019.035872 for Dentistry in Illinois. His current practice location is
539 N La Grange Rd, La Grange Park. Patients can reach him at
708-354-1070.
Colton Cannon is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Colton Cannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Colton Cannon |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 539 N La Grange Rd, La Grange Park,
Illinois, 60526-5647 |
| Phone: | 708-354-1070 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1801590807 |
| NPI Enumeration Date: | 27 Mar, 2023 |
| NPI Last Update On: | 09 Jul, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colton Cannon are as mentioned below.
| License Number | Specialization | State | Status | |
| 019.035872 | Dentistry | Illinois | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3400 Spruce St,
Philadelphia, Pennsylvania |
| Zip: | 19104-4238 |
Patients can reach Colton Cannon at
539 N La Grange Rd, La Grange Park, Illinois or can
call to book an appointment on 708-354-1070.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.