Clinton Dental Clinic,Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4384 Issued in KY

Legal business name

CLINTON DENTAL CLINIC,INC.

Practice address

201 S Washington St
Clinton, KY 42031-1440

Phone

(270) 653-4600

Fax

(270) 653-2778

NPI assigned

Dec 28, 2006

Last updated

Mar 14, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rickey Allan Canty, D.M.D.

Title

Owner-Dentist

Phone

(270) 653-4600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rick Canty, D.M.D.

  • General Practice Dentistry
  • Clinton, KY
  • NPI 1245636174
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1073679866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "CLINTON",
            "state": "KY",
            "postal_code": "420310217",
            "telephone_number": "270-653-4600",
            "fax_number": "270-653-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S WASHINGTON ST",
            "city": "CLINTON",
            "state": "KY",
            "postal_code": "420311440",
            "telephone_number": "270-653-4600",
            "fax_number": "270-653-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON DENTAL CLINIC,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "CANTY",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "270-653-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann N Bolli, M.D.
• John Garland Byassee, PHARM.D.
• Rick Canty, D.M.D.
• Jessica Brook Charlton, L.P.C.A.
• Clinton and Hickman County Hospital, Inc.
• Clinton Pharmacy LLC
• Clinton Pharmacy LLC (Clinton Pharmacy)
• Clinton-Hickman County Ambulance Service Inc
• Communtiy Healthcare of Western Kentucky LLC
• Diversicare Clinton, LLC (Arbor Place of Clinton)

• General Practice Dentistry in Clinton, KY
• Providers in Clinton, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.