Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Canton Communitydentalclinicllc

Organization General Practice Dentistry · NPI 1568567477

Canton Communitydentalclinicllc is a General Practice Dentistry in Canton, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
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Practice location Address checks out

512 W Fulton St
Canton, MS 39046-4254
Phone: (601) 855-5885
Fax: (601) 855-2833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3108-99 (MS)

Record details

NPI number1568567477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Johnson — Dentist · (601) 855-5885
NPI enumeratedSeptember 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address512 W Fulton St, Canton, MS 39046-4254

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