Organization
CLAY D CANNON, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY CANNON DDS (OWNER)
(903) 561-8600
Entity
Organization
Contact information
Practice address
202 SHELLEY DR, TYLER, TX 75701-8725
(903) 561-8600
Mailing address
202 SHELLEY DR, TYLER, TX 75701-8725
(903) 561-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18036
TX
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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