Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295221778 Individual Practitioner Female Practitioner

Dr. Maxine Cannon , DDS

Dentist - General Practice • Monroe, MI

Professional Overview & Biography Verified Profile Summary

Dr. Maxine Cannon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Monroe, MI. Practice services are available at 1049 N MACOMB ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1049 N Macomb St

Monroe, MI 481623126

Telephone 7342424334
Associated Practice Facility / Clinic
🏢 Maxine Cannon Dds, Pllc Facility NPI 1497562276

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Monroe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
33 Specialists

Practicing in Monroe, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901022673

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1932116134

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location May 27, 2025

Registered at 1049 N MACOMB ST, MONROE, MI 481623126 (Tel: 7342424334)

📍
Updated Business Mailing Address May 27, 2025

Registered at 1049 N MACOMB ST, MONROE, MI 481623126 (Tel: 7342424334)

📍
Updated Practice Location December 15, 2024

Registered at 8400 ALLEN RD, ALLEN PARK, MI 481011430 (Tel: 3139288848)

📍
Updated Practice Location January 02, 2023

Registered at 254 WEST RD, TRENTON, MI 481832916 (Tel: 7346761333)

📍
Updated Business Mailing Address January 02, 2023

Registered at 1790 EDSEL ST, TRENTON, MI 481831836 (Tel: 7347878975)

📍
Updated Business Mailing Address May 14, 2019

Registered at 8198 CRESTVIEW AVE, JENISON, MI 494289124 (Tel: 7347878975)

📍
Updated Business Mailing Address October 23, 2018

Registered at 59 RICHARDS AVE NW, GRAND RAPIDS, MI 495045452 (Tel: 7347878975)

👤
Provider Name / Credentials Updated October 23, 2018

Recorded as MAXINE CANNON, DDS

NPI Profile Active July 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2018

Registered at 2064 BALDWIN ST STE A, JENISON, MI 494288773 (Tel: 6162290269)

📍
Updated Business Mailing Address July 08, 2018

Registered at 3022 STROHM AVE, TRENTON, MI 481831887 (Tel: 7347878975)

👤
Provider Name / Credentials Updated July 08, 2018

Recorded as MAXINE WYKLE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2018

Dentist (License #2901022673 in MI)

🟢
Initial NPI Registration & Enumeration July 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295221778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2018
Last Update: May 27, 2025
Sole Proprietor: No

Mailing Address

1049 N Macomb St

Monroe, MI 481623126

Phone: 7342424334

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.