Canton Communitydentalclinicllc

NPI #1568567477 in Canton, Mississippi

Provider Information

NPI Number
1568567477
Entity Type
Organization
Organization Name
Canton Communitydentalclinicllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
512 W FULTON ST
City
Canton
ZIP Code
39046-4254
Phone
(601) 855-5885

Authorized Official

Name
DR. TIMOTHY TERELL JOHNSON, DDS
Title
DENTIST
Phone
(601) 855-5885

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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