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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARSON CANNON, D.D.S.

Active

CARSON CANNON, D.D.S. is a Dentist healthcare provider located in STILLWATER, Minnesota. NPI 1063078210 is currently active in the NPPES registry. Verify at CMS.

Dentist · STILLWATER, MN

Registration Details

NPI Number
1063078210
Provider Type
Individual
Gender
Male
NPI Issued
May 14, 2019 (7.2250379701681 yrs)
Last Updated
Feb 4, 2022
Licenses
D14174 (MN)
1002126-15 (WI)
D14174 (MN)
1002126-15 (WI)

Practice Information

Address
2850 CURVE CREST BLVD W STE 200
STILLWATER, MN, 550824073
Browse MN providers · Browse ZIP 55082
Phone
6514399400
Primary Specialty
Dentist
122300000X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Additional Specialty
Dentist

Other Dentist Providers in STILLWATER, MN

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.