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CANTON COMMUNITYDENTALCLINICLLC
NPI 1568567477
Dentist - General Practice in Canton, MS

Active since September 14, 2006
512 W FULTON ST, CANTON, MS 39046(601) 855-5885(601) 855-2833 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canton Communitydentalclinicllc NPPES

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

CANTON COMMUNITYDENTALCLINICLLC (NPI 1568567477) is a healthcare organization registered as a general practice in Canton, Mississippi and active in the NPI registry since September 2006. The organization lists Timothy Terell Johnson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1568567477
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCANTON COMMUNITYDENTALCLINICLLC
Location Address512 W FULTON STCanton, MS 39046-4254
Mailing Address512 W Fulton StCanton, MS 39046-4254 · (601) 855-5885 · Fax (601) 855-2833
Phone(601) 855-5885
Fax(601) 855-2833
Organization SubpartNo
Authorized OfficialTimothy Terell JohnsonDentist · (601) 855-5885
Enumeration DateSeptember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568567477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 3108-99
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.
512 W FULTON ST, Canton, MS 39046
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Other Identifiers 1

Medicaid08324092MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. TIMOTHY TERELL JOHNSON DDS
Dentist
512 W FULTON ST
CANTON, MS 39046
Madison County (601) 855-5885

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 Canton Communitydentalclinicllc's NPI number?

The NPI number for Canton Communitydentalclinicllc is 1568567477. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Canton Communitydentalclinicllc located?

Canton Communitydentalclinicllc is located at 512 W Fulton St, Canton, MS 39046. The listed phone number is (601) 855-5885.

What is Canton Communitydentalclinicllc's specialty?

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

What insurance does Canton Communitydentalclinicllc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Canton Communitydentalclinicllc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canton Communitydentalclinicllc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.