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

Canton Communitydentalclinicllc

Organization General Practice Dentistry · NPI 1568567477

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

Licensed in
MS
In the registry since
2006

Practice location Address checks out

512 W Fulton St
Canton, MS 39046-4254
Phone: (601) 855-5885
Fax: (601) 855-2833
Show map & directions

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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