CARSON CANNON (NPI# 1063078210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063078210 |
| Entity Type | Individual |
| Full Name | CARSON CANNON |
| Credential | D.D.S. |
| Practice Address |
230 South Washington St St. Croix Falls WI 54024 |
| Practice Telephone | 6124672039 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1002126-15 | WI | Dental Providers |
| N | 122300000X | Dentist | D14174 | MN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D14174 | MN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
1002126-15 | WI | Dental Providers |
| Street Address |
230 SOUTH WASHINGTON ST |
| City | ST. CROIX FALLS |
| State | WI |
| Zip Code | 54024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467743435 | Sarie Chieko Transue | Occupational Therapy Assistant | 450 East Lousiana St, St. Croix Falls, WI 54024 | 2011-04-26 |
| 1982909578 | Anita Melodee Bont | Marriage & Family Therapist | 144 N. Adams Street, St. Croix Falls, WI 54024 | 2011-01-13 |
| 1346407376 | Joy Kathleen Zasadny | Chiropractor | 520 S. Washington St, St. Croix Falls, WI 54024 | 2008-05-19 |
| 1093990822 | Counseling Associates of St. Croix, Inc | Community/Behavioral Health | 809 Us Hwy 8 East, St. Croix Falls, WI 54024 | 2007-12-28 |
| 1710169263 | School District of St. Croix Falls | Local Education Agency (LEA) | 740 Maple Drive, St. Croix Falls, WI 54024 | 2007-11-27 |
| 1225151558 | Patrick Earl Mcdonough | Family Medicine | 235 State Street, St. Croix Falls, WI 54024 | 2007-04-10 |
| 1366577488 | Valerie A Zellmer | Marriage & Family Therapist | 809 Us Hwy 8, St. Croix Falls, WI 54024 | 2007-02-22 |
| 1689709511 | Linda M Amundson | Marriage & Family Therapist | 809 Us Highway 8, St. Croix Falls, WI 54024 | 2007-02-22 |
| 1194850016 | Donna L. Hill | Counselor | 809 Us Highway 8 East, St. Croix Falls, WI 54024 | 2007-02-22 |
| 1982747911 | Counseling Associates Inc | Community/Behavioral Health | 809 Us Hwy. 8 East, St. Croix Falls, WI 54024 | 2007-02-15 |
| Find all providers in zip 54024 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407963051 | Steven L Mccormack | Dentist | 117 North Washington St., St. Croix Falls, WI 54024 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | ST. CROIX FALLS |
| Zip Code | 54024 |
Please comment or provide details below to improve the information on CARSON 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.