Doctor profile · Federal record
Dr. Carson Cannon, D.D.S.
Dentist · Dentist · General Practice Dentistry · General Practice Dentistry · Stillwater, MN
- NPI 1063078210
- 7 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2850 Curve Crest Blvd W Ste 200
Stillwater, MN 550824073
(651) 439-9400 - Mailing address
-
2850 Curve Crest Blvd W
Stillwater, MN 550824039
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- February 4, 2022
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Wisconsin #1002126-15 · Minnesota #D14174
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063078210. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$44
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 2 | $30.15 | |
| Philips North America LLC | 1 | $13.70 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
15
Total drug cost
$52
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 15 | 15 | $52 |
Frequently asked questions
What is Dr. Carson Cannon's medical specialty?
Dr. Carson Cannon practices Dentist in Stillwater, MN.
Where does Dr. Carson Cannon practice?
Dr. Carson Cannon practices at 2850 Curve Crest Blvd W Ste 200, Stillwater, MN 550824073. Office phone: 6514399400.
What is Dr. Carson Cannon's NPI?
Dr. Carson Cannon's National Provider Identifier (NPI) is 1063078210, issued by NPPES.