Mr David L Cannon, DDS - Medicare Dentist in Alexandria, MN

Mr David L Cannon, DDS is a medicare enrolled "Dentist - General Practice" provider in Alexandria, Minnesota. His current practice location is 3015 Hwy 29 S., Suite 4176, Alexandria, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 763-5052.

Mr David L Cannon is licensed to practice in Minnesota (license number 11868) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801824040.

Contact Information

Mr David L Cannon, DDS
3015 Hwy 29 S., Suite 4176,
Alexandria, MN 56308
(320) 763-5052
(320) 763-5053



Healthcare Provider's Profile

Full NameMr David L Cannon
GenderMale
SpecialityDentist - General Practice
Location3015 Hwy 29 S., Alexandria, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801824040
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 06/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2961794334
  • Enrollment ID: I20160705000786

Medical Identifiers

Medical identifiers for Mr David L Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801824040NPI-NPPES
537439100OtherMNMN HEALTH PLANS PROVIDER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 11868 (Minnesota)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. Mr David L Cannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr David L Cannon, DDS
4100 Shoreline Dr. #4,
Spring Park, MN 55384

Ph: (952) 224-9784
Mr David L Cannon, DDS
3015 Hwy 29 S., Suite 4176,
Alexandria, MN 56308

Ph: (320) 763-5052

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› Verified 9 days ago


Dentist in Alexandria, MN

Brian Riegel, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2209 Jefferson St Ste 101a, Alexandria, MN 56308
Phone: 320-815-5711    Fax: 320-335-2619
Dr. Tera Boyd, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2209 Jefferson St, Alexandria, MN 56308
Phone: 320-815-5711    
Dr. Shawn Michael Spoden, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 3015 Highway 29 S, Alexandria, MN 56308
Phone: 320-763-5052    Fax: 320-763-5053
Dr. Kelly Leigh Bumgarner, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2633 Jefferson Street, Suite 801, Alexandria, MN 56308
Phone: 320-762-1717    
Dr. Paul M Odland,
Dentist
Medicare: Medicare Enrolled
Practice Location: 2306 S Broadway St, Alexandria, MN 56308
Phone: 320-762-5216    
Dr. Rick D Thiery, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 111 10th Ave E, Alexandria, MN 56308
Phone: 320-763-3113    
Dr. Dean Richard Anderson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Hawthorne, Ste 2, Alexandria, MN 56308
Phone: 320-762-2122    

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