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Canton Communitydentalclinicllc
General Practice Dentistry in Canton, Mississippi
NPI 1568567477

Canton Communitydentalclinicllc is a General Practice Dentistry based in Canton, MS and is specialized in General Practice. Canton Communitydentalclinicllc practices in Canton, MS. The NPI Number for Canton Communitydentalclinicllc is 1568567477 and holds a License No. 3108-99 (Mississippi).

The current practice location address for Canton Communitydentalclinicllc is 512 W Fulton St, Canton, MS and can be reached out via phone at 601-855-5885 and via fax at 601-855-2833.

Location: 512 W Fulton St, Canton, MS, 39046-4254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568567477
Provider Name
Canton Communitydentalclinicllc
Credential
Provider Entity Type
Organization
Address
512 W Fulton St, Canton, MS, 39046-4254
Phone Number
601-855-5885
Fax Number
601-855-2833
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
08324092 05 MS
institution
Provider Business Practice Location Address Details
Address
512 W Fulton St
City
Canton
State
Mississippi
Zip
39046-4254
Phone Number
601-855-5885
Fax Number
601-855-2833
person
Provider Business Mailing Address Details
Address
512 W Fulton St
City
Canton
State
Mississippi
Zip
39046-4254
Phone Number
601-855-5885
Fax Number
601-855-2833
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3108-99 (Mississippi)
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.
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