Clay D Cannon, Dds, Pllc

NPI #1245436187 in Tyler, Texas

Provider Information

NPI Number: 1245436187
Entity Type: Organization
Organization Name: Clay D Cannon, Dds, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 202 SHELLEY DR
City: Tyler
State: Texas
ZIP Code: 75701-8725
Phone: (903) 561-8600

Authorized Official

Name: CLAY CANNON, DDS
Title: OWNER
Phone: (903) 561-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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