Individual provider · Type 1 NPI

Michelle Lynn Cannon, DDS

General Practice Dentistry · Michigan City, IN

NPI number 1629305065 Active

Practice location

710 Franklin St, Suite 200
Michigan City, IN 46360-3563

Call (219) 872-6200 Map

Fax (219) 379-2736

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X019.028140 (IL)
General Practice Dentistry Primary 1223G0001X12011767A (IN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

13 other providers at this address

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About NPI 1629305065

Michelle Lynn Cannon, DDS's National Provider Identifier is 1629305065, issued on Nov 5, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Michigan City, IN. The record was last updated on May 10, 2012.