Cannon, David L
Cannon, David L is an individual health care provider with primary practice located at 3015 Hwy 29 S. Suite 4176, Alexandria MN 56308. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cannon, David L can be contacted via phone (320) 763-5052.Contact Information
Primary practice address
3015 Hwy 29 S. Suite 4176
Alexandria MN 56308
Phone: (320) 763-5052
Fax: (320) 763-5053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11868 | Minnesota |
Profile Details
| NPI number | 1801824040 |
|---|---|
| LBN Legal business name | Cannon, David L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jun 16th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801824040 | NPPES |
| Minnesota | Other | 537439100 | MN HEALTH PLANS PROVIDER |
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