Doctor profile · Federal record
Dr. Mark Cannon, DDS, MS
Pediatric Dentist · Long Grove, IL
- NPI 1891731121
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4160 Rfd, Grove Medical Center, Suite 308
Long Grove, IL 600479583
(847) 634-6166
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223P0221X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891731121. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$7,119
Transactions
14
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alexion Pharmaceuticals, Inc. | 12 | $4,713.27 | |
| BISCO, INC. | 2 | $2,406.00 |
By nature of payment
Frequently asked questions
What is Dr. Mark Cannon's medical specialty?
Dr. Mark Cannon practices Pediatric Dentist in Long Grove, IL.
Where does Dr. Mark Cannon practice?
Dr. Mark Cannon practices at 4160 Rfd, Long Grove, IL 600479583. Office phone: 8476346166.
What is Dr. Mark Cannon's NPI?
Dr. Mark Cannon's National Provider Identifier (NPI) is 1891731121, issued by NPPES.