MR. DAVID L CANNON (NPI# 1801824040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801824040 |
| Entity Type | Individual |
| Full Name | MR. DAVID L CANNON |
| Credential | DDS |
| Practice Address |
3015 Hwy 29 S. Suite 4176 Alexandria MN 56308 |
| Mailing Address |
4100 Shoreline Dr. #4 Spring Park MN 55384 |
| Practice Telephone | 3207635052 |
| Practice Fax Number | 3207635053 |
| Mailing Telephone | 9522249784 |
| Mailing Fax Number | 9522249791 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11868 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN HEALTH PLANS PROVIDER | 537439100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295743763 | David S Cannon | Dentist | 1434 E 4500 S, #202, Holladay, UT 84117 | 2006-08-03 |
| 1760081236 | David Michael Cannon | Technician | 2434 S 7th St, Ironton, OH 45638-2627 | 2020-10-25 |
| 1811551369 | David Cannon | Nurse Practitioner | 14825 Southfield Rd, Allen Park, MI 48101-2642 | 2019-04-30 |
| 1013483213 | David Cannon | Pharmacist | 55 Wade Ave, Catonsville, MD 21228-4663 | 2018-10-16 |
| 1073716932 | David Gaine Cannon | Psychologist | 1376 Tiger Blvd, Ste 210, Clemson, SC 29631-2654 | 2007-06-07 |
| 1699819318 | David Wayne Cannon | Physical Therapist | 760 Highland Oaks Dr, Winston Salem, NC 27103-7105 | 2007-02-16 |
| 1619046117 | David H Cannon | Dentist | 1060 E 100 S, Suite 307, Salt Lake City, UT 84102-1501 | 2006-11-07 |
| 1578504668 | David Lorne Cannon | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2006-06-09 |
| 1487630133 | David Cannon | Optometrist | 3200 S Airport Rd W, #146, Traverse City, MI 49684-8117 | 2005-12-15 |
| 1891778387 | David Cannon | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2005-11-29 |
| Street Address |
3015 HWY 29 S. SUITE 4176 |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154516 | Kim Ierna Kitchen Dds, PC | Dentist | 500 Montgomery St Ste 250, Alexandria, VA 22314-1558 | 2020-11-05 |
| 1477117778 | Galleria Dental of Alexandria Pllc | Dentist | 3223 Duke St Ste G, Alexandria, VA 22314-4555 | 2019-04-23 |
| 1609333178 | Sebastian Gonzalez-diaz | Dentist | 3709 Masonic Dr, Alexandria, LA 71301-3632 | 2019-02-20 |
| 1952896383 | Christy Park Hark | Dentist | 901 N Washington St Ste 202, Alexandria, VA 22314-1535 | 2018-06-27 |
| 1144714718 | Taylor Eve Sylvester | Dentist | 2014 Gus Kaplan Dr, Alexandria, LA 71301-3358 | 2018-06-18 |
| 1396259586 | Sasan Ahmadiyar, Dds,pllc | Dentist | 1911 Ballenger Ave, Alexandria, VA 22314-6819 | 2017-11-27 |
| 1891205993 | Caroline Young Lee | Dentist | 4452 Raleigh Ave Apt 201, Alexandria, VA 22304-6744 | 2017-10-03 |
| 1578091591 | Timothy Yang | Dentist | 5249 Duke St # L-10, Alexandria, VA 22304-2926 | 2017-06-03 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on MR. DAVID L CANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.