DR. JASON NICHOLAS CANNON DDS NPI 1396580288

NPI Information

  • NPI: 1396580288
  • Provider Name: DR. JASON NICHOLAS CANNON, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 851 OLD WINSTON RD STE 101
    KERNERSVILLE, NC
    ZIP 27284
  • Phone: (336) 996-7770

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NPI Details

DR. Jason Nicholas Cannon, DDS is a general practice dentist in Kernersville, NC. The provider is 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. DR. Jason Nicholas Cannon, DDS NPI is 1396580288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

851 OLD WINSTON RD STE 101
KERNERSVILLE, NC
ZIP 27284-781
Phone: (336) 996-7770

The enumeration date for this NPI number is 7/1/2024 and was last updated on 7/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice13792NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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