Individual
DR. STEVEN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
295 S 10TH ST, COOS BAY, OR 97420-4623
(541) 269-5353
(541) 266-0933
Mailing address
295 S 10TH ST, COOS BAY, OR 97420-4623
(541) 269-5353
(541) 266-0933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-4949
ID
1223G0001X
General Practice Dentistry
Primary
D11067
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D11067
OREGON BOARD OF DENTISTRY
OR
Enumeration date
08/08/2018
Last updated
06/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us