Cannon, Richard R
Cannon, Richard R is an individual health care provider with primary practice located at 1110 Meridian St N , Huntsville AL 35801-4636. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cannon, Richard R can be contacted via phone (256) 428-7276.Contact Information
Primary practice address
1110 Meridian St N
Huntsville AL 35801-4636
Phone: (256) 428-7276
Fax: (256) 428-7259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | AL2505 | Alabama |
Profile Details
| NPI number | 1962526285 |
|---|---|
| LBN Legal business name | Cannon, Richard R |
| Credentials | DDS,MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962526285 | NPPES |
| Alabama | Other | 51517174 | BCBS |
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