person
Richard R Cannon, DDS,MS
Pediatric Dentist in Huntsville, Alabama
NPI 1962526285

Richard R Cannon is a Pediatric Dentist based in Huntsville, AL and is specialized in Pediatric Dentistry. Richard R Cannon practices in Huntsville, AL and has the professional credentials of DDS,MS. The NPI Number for Richard R Cannon is 1962526285 and holds a License No. AL2505 (Alabama).

The current practice location address for Richard R Cannon is 1110 Meridian St N, Huntsville, AL and can be reached out via phone at 256-428-7276 and via fax at 256-428-7259. You can also correspond with Richard R Cannon through the mailing address at 1110 MERIDIAN ST N, HUNTSVILLE, AL - 35801-4636 (mailing address contact number: 256-428-7276).

Location: 1110 Meridian St N, Huntsville, AL, 35801-4636
person
Provider Profile Details
NPI Number
1962526285
Provider Name
Richard R Cannon
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
1110 Meridian St N, Huntsville, AL, 35801-4636
Phone Number
256-428-7276
Fax Number
256-428-7259
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51517174 01 AL BCBS
institution
Provider Business Practice Location Address Details
Address
1110 Meridian St N
City
State
Zip
35801-4636
Phone Number
256-428-7276
Fax Number
256-428-7259
person
Provider Business Mailing Address Details
Address
1110 Meridian St N
City
State
Zip
35801-4636
Phone Number
256-428-7276
Fax Number
256-428-7259
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
AL2505 (Alabama)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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