OrganizationActive
Clay D Cannon, DDS, PLLC
NPI 1245436187 · General Practice Dentistry · Tyler, TX
Clay D Cannon, DDS, PLLC is a General Practice Dentistry organization in Tyler, TX (NPI 1245436187).
Provider details
- NPI number
- 1245436187
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Clay Cannon, Owner(903) 561-8600
- License
- 18036 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
202 Shelley Dr
Tyler, TX 75701-8725
Phone: (903) 561-8600
Street-level locationGet directions
Mailing address
202 Shelley Dr
Tyler, TX 75701-8725
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Clay D Cannon, DDS, PLLC's NPI number?
- Clay D Cannon, DDS, PLLC's National Provider Identifier (NPI) is 1245436187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clay D Cannon, DDS, PLLC?
- Clay D Cannon, DDS, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Clay D Cannon, DDS, PLLC located?
- Clay D Cannon, DDS, PLLC's practice location on file with NPPES is 202 Shelley Dr, Tyler, TX 75701-8725.
- What is Clay D Cannon, DDS, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Clay D Cannon, DDS, PLLC is (903) 561-8600.
- Who is the authorized official for Clay D Cannon, DDS, PLLC?
- The authorized official listed on Clay D Cannon, DDS, PLLC's NPPES record is Clay Cannon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clay D Cannon, DDS, PLLC's NPI active?
- Yes — Clay D Cannon, DDS, PLLC's NPI (1245436187) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.