Doctor profile · Federal record
Dr. Michelle Cannon, DDS
General Practice Dentistry · General Practice Dentistry · Michigan City, IN
- NPI 1629305065
- 17 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
710 Franklin St, Suite 200
Michigan City, IN 463603563
(219) 872-6200
fax (219) 379-2736
Credentials & registration
- NPI registered
- November 2009 — 17 yrs on file
- Profile last updated
- May 10, 2012
- Specialty taxonomy
- 1223G0001X — NUCC code
- State licenses (2)
- Indiana #12011767A · Illinois #019.028140
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629305065. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$134
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BioHorizons Implant Systems Inc. | 2 | $134.44 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
27
Patients
24
Total drug cost
$81
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 27 | 24 | $81 |
Frequently asked questions
What is Dr. Michelle Cannon's medical specialty?
Dr. Michelle Cannon practices General Practice Dentistry in Michigan City, IN.
Where does Dr. Michelle Cannon practice?
Dr. Michelle Cannon practices at 710 Franklin St, Michigan City, IN 463603563. Office phone: 2198726200.
What is Dr. Michelle Cannon's NPI?
Dr. Michelle Cannon's National Provider Identifier (NPI) is 1629305065, issued by NPPES.