Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Smith Cannon, DMD

Individual provider Dentist · NPI 1083813810

Dr. Mark Smith Cannon, DMD is a Dentist in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3400 Arapahoe Ave
Boulder, CO 80303-1023
Phone: (303) 444-2129
Fax: (303) 413-8145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9352 (CO)

Record details

NPI number1083813810
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESJuly 12, 2007

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