Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carson Cannon, DDS

Individual provider Dentist · NPI 1063078210

Carson Cannon, DDS is a Dentist in Stillwater, Minnesota. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2019.

Licensed in
MN, WI
In the registry since
2019
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2850 Curve Crest Blvd W Ste 200
Stillwater, MN 55082-4073
Phone: (651) 439-9400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1002126-15 (WI)
Dentist Taxonomy 122300000X · Licence D14174 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 1002126-15 (WI)
General Practice Dentistry Taxonomy 1223G0001X · Licence D14174 (MN)

Record details

NPI number1063078210
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 14, 2019
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing address2850 Curve Crest Blvd W, Stillwater, MN 55082-4039

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