Cannon, Thomas Richard

Cannon, Thomas Richard is an individual health care provider with primary practice located at 3176 Us 70 Hwy , Black Mountain NC 28711-9108. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cannon, Thomas Richard can be contacted via phone (828) 669-2974.

Contact Information

Primary practice address
3176 Us 70 Hwy Black Mountain NC 28711-9108
Phone: (828) 669-2974
Fax: (828) 669-6082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3635 North Carolina

Profile Details

NPI number 1528003704
LBN Legal business name Cannon, Thomas Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jun 10th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528003704 NPPES
North Carolina MEDICAID 89-91344

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