Carson Cannon, D.D.S.
NPI #1063078210 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1063078210
- Entity Type
- Individual
- Name
- Carson Cannon, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- May 14, 2019
- Last Updated
- Feb 4, 2022
Practice Location
- Address
- 2850 CURVE CREST BLVD W STE 200
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-4073
- Phone
- (651) 439-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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