Cannon, Steven

Cannon, Steven is an individual health care provider with primary practice located at 295 S 10Th St , Coos Bay OR 97420-4623. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Cannon, Steven can be contacted via phone (541) 269-5353.

Contact Information

Primary practice address
295 S 10Th St Coos Bay OR 97420-4623
Phone: (541) 269-5353
Fax: (541) 266-0933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D-4949 Idaho
Dental Providers / General Practice 1223G0001X D11067 Oregon

Profile Details

NPI number 1649759879
LBN Legal business name Cannon, Steven
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2018
Last updated Feb 23rd, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649759879 NPPES
Oregon Other D11067 OREGON BOARD OF DENTISTRY

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