OrganizationActive
Canton Communitydentalclinicllc
NPI 1568567477 · General Practice Dentistry · Canton, MS
Canton Communitydentalclinicllc is a General Practice Dentistry organization in Canton, MS (NPI 1568567477).
Provider details
- NPI number
- 1568567477
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Johnson, Dentist(601) 855-5885
- License
- 3108-99 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
512 W Fulton St
Canton, MS 39046-4254
Phone: (601) 855-5885
Fax: (601) 855-2833
Street-level locationGet directions
Mailing address
512 W Fulton St
Canton, MS 39046-4254
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Canton Communitydentalclinicllc's NPI number?
- Canton Communitydentalclinicllc's National Provider Identifier (NPI) is 1568567477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canton Communitydentalclinicllc?
- Canton Communitydentalclinicllc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Canton Communitydentalclinicllc located?
- Canton Communitydentalclinicllc's practice location on file with NPPES is 512 W Fulton St, Canton, MS 39046-4254.
- What is Canton Communitydentalclinicllc's phone number?
- The practice phone number listed in the NPPES registry for Canton Communitydentalclinicllc is (601) 855-5885.
- Who is the authorized official for Canton Communitydentalclinicllc?
- The authorized official listed on Canton Communitydentalclinicllc's NPPES record is Timothy Johnson, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canton Communitydentalclinicllc's NPI active?
- Yes — Canton Communitydentalclinicllc's NPI (1568567477) 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.