Individual
DR. JASON NICHOLAS CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
851 OLD WINSTON RD STE 101, KERNERSVILLE, NC 27284-8781
(336) 996-7770
Mailing address
851 OLD WINSTON RD STE 101, KERNERSVILLE, NC 27284-8781
(336) 996-7770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13792
NC
Other
Enumeration date
07/01/2024
Last updated
07/15/2024
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