# CLANTON DENTAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clanton Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467197277
- **Authorized official:** DR. LAUTEN JOHNSON DMD (DMD)
- **Authorized official phone:** (205) 982-0112

## Contact information

- **Practice address:** 405 2ND AVE N, CLANTON, AL 35045-3461
- **Practice address phone:** (205) 982-0112
- **Mailing address:** 1015 BROCKS GAP PKWY, HOOVER, AL 35244-4032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2022
- **Last updated:** 05/05/2022