Carson Cannon, DDS - Dentist in Stillwater, MN

Carson Cannon, DDS is a Dentist based in Stillwater, Minnesota. Carson Cannon is licensed to practice in Wisconsin (license number 1002126-15) and his current practice location is 2850 Curve Crest Blvd W Ste 200, Stillwater, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 439-9400.

NPI number for Carson Cannon is 1063078210 and his current mailing address is 2850 Curve Crest Blvd W, Stillwater, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063078210.

Contact Information

Carson Cannon, DDS
2850 Curve Crest Blvd W Ste 200,
Stillwater, MN 55082-4073
(651) 439-9400
Not Available



Healthcare Provider's Profile

Full NameCarson Cannon
GenderMale
SpecialityDentist
Location2850 Curve Crest Blvd W Ste 200, Stillwater, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063078210
  • Provider Enumeration Date: 05/14/2019
  • Last Update Date: 02/04/2022

Medical Identifiers

Medical identifiers for Carson Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063078210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D14174 (Minnesota)Secondary
1223G0001XDentist - General Practice 1002126-15 (Wisconsin)Secondary
1223G0001XDentist - General Practice D14174 (Minnesota)Secondary
122300000XDentist 1002126-15 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carson Cannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carson Cannon, DDS
2850 Curve Crest Blvd W,
Stillwater, MN 55082-4039

Ph: (651) 439-9400
Carson Cannon, DDS
2850 Curve Crest Blvd W Ste 200,
Stillwater, MN 55082-4073

Ph: (651) 439-9400

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› Verified 9 days ago


Dentist in Stillwater, MN

Dr. Sarah Louise Bogel, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1395 Curve Crest Blvd W, Stillwater, MN 55082
Phone: 651-430-0036    
Timothy Huska, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 13961 60th St N, Stillwater, MN 55082
Phone: 651-439-2600    
Richard L Schneider, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 126 Main St N, Stillwater, MN 55082
Phone: 651-439-3637    Fax: 651-439-4655
Steven D Johnson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082
Phone: 651-439-8030    Fax: 651-351-0821
Dr. Polly Jo Courtney Logan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 13961 60th St, St Croix Valley Dental, Stillwater, MN 55082
Phone: 651-439-2600    Fax: 651-439-2211
Martin A Tahara, DMD, MD
Dentist
Medicare: Medicare Enrolled
Practice Location: 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082
Phone: 651-439-8030    Fax: 651-351-0821

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