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CLAY D CANNON, DDS, PLLC
NPI 1245436187
Dentist - General Practice in Tyler, TX

Active since June 26, 2007
202 SHELLEY DR, TYLER, TX 75701(903) 561-8600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Clay D Cannon, Dds, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAY D CANNON, DDS, PLLC (NPI 1245436187) is a healthcare organization registered as a general practice in Tyler, Texas and active in the NPI registry since June 2007. The organization lists Clay Cannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1245436187
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLAY D CANNON, DDS, PLLC
Location Address202 SHELLEY DRTyler, TX 75701-8725
Mailing Address202 Shelley DrTyler, TX 75701-8725 · (903) 561-8600
Phone(903) 561-8600
Organization SubpartNo
Authorized OfficialClay CannonOwner · (903) 561-8600
Enumeration DateJune 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245436187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 18036
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
202 SHELLEY DR, Tyler, TX 75701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAY CANNON
Dentist (General Practice)
202 SHELLEY DR
TYLER, TX 75701
Smith County (903) 561-8600
ROBERT BROCK DDS PLLC
Clinic/Center (Dental)
202 SHELLEY DR
TYLER, TX 75701
Smith County (903) 561-8600
DR. ROBERT LANSDEN BROCK DDS
Dentist
202 SHELLEY DR
TYLER, TX 75701
Smith County (903) 561-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clay D Cannon, Dds, PLLC's NPI number?

The NPI number for Clay D Cannon, Dds, PLLC is 1245436187. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Clay D Cannon, Dds, PLLC located?

Clay D Cannon, Dds, PLLC is located at 202 Shelley Dr, Tyler, TX 75701. The listed phone number is (903) 561-8600.

What is Clay D Cannon, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Clay D Cannon, Dds, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.