Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801824040 Individual Practitioner Male Practitioner

Dr. David L Cannon , DDS

Dentist - General Practice • Alexandria, MN

Professional Overview & Biography Verified Profile Summary

Dr. David Cannon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Alexandria, MN. Practice services are available at 3015 HWY 29 S. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3015 Hwy 29 S.
Suite 4176

Alexandria, MN 56308

Telephone 3207635052
Fax 3207635053

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Alexandria, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
16 Specialists

Practicing in Alexandria, MN (2262 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN 11868

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Mn Health Plans Provider
537439100 (MN)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1023271236

Doctor of Dental Surgery

NPI 1194975714

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2014

Registered at 3015 HWY 29 S., SUITE 4176, ALEXANDRIA, MN 56308 (Tel: 3207635052)

📍
Updated Business Mailing Address June 16, 2014

Registered at 4100 SHORELINE DR. #4, SPRING PARK, MN 55384 (Tel: 9522249784)

👤
Provider Name / Credentials Updated June 16, 2014

Recorded as DAVID CANNON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2014

Dentist (License #11868 in MN)

🟢
Initial NPI Registration & Enumeration June 28, 2006

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: 1801824040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: June 16, 2014
Sole Proprietor: No

Mailing Address

4100 Shoreline Dr. #4

Spring Park, MN 55384

Phone: 9522249784

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.