Danielle Suit Cannon, DMD

Individual provider Active NPI General Practice Dentistry · Flemingsburg, KY

NPI 1508312950 · NPPES record last updated May 30, 2023

Key facts

NPI
1508312950
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
10031 (KY)
Practice address
46 Ashbrook Dr
Flemingsburg, KY 41041-9677
Phone
(606) 849-1999
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10031KYMDGeneral Practice Dentistry
6872OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Price Dre, LLC Dentist Current
since Jun 4, 2023
Accepting new patients
Okc Dental Health Associates, P.C. General Practice Past Accepting new patients

Locations

46 Ashbrook Dr
Flemingsburg, KY 41041
Phone (606) 849-1999

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6872 OK
General Practice Dentistry 1223G0001X 10031 KY Yes

Addresses

Primary practice location

46 Ashbrook Dr
Flemingsburg, KY 41041-9677

Mailing address

46 Ashbrook Dr
Flemingsburg, KY 41041-9677
Phone (606) 849-1999

Other practice location 1

2111 NW Cache Rd
Lawton, OK 73505-5213
Phone (580) 699-8802

Other practice location 2

101 Jett Blvd Ste 100
Frankfort, KY 40601-7778
Phone (502) 871-3525

Other providers in Flemingsburg, KY

All providers in Flemingsburg, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.