Clay D Cannon, DDS, Pllc
Clay D Cannon, DDS, Pllc is a healthcare organization registered as General Practice Dentistry in Tyler, TX, holding Type 2 (organization) NPI 1245436187 since 2007. The authorized official on file is Clay Cannon, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1245436187 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Clay D Cannon, DDS, Pllc |
| Practice address | 202 SHELLEY DR, Tyler, TX, 75701 |
| Phone | 9035618600 |
| Enumeration date | 2007-06-26 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Clay Cannon |
|---|---|
| Title | Owner |
| Phone | 9035618600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 18036 | TX |
Copy-ready billing details
Provider: Clay D Cannon, DDS, Pllc NPI: 1245436187 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 202 SHELLEY DR, Tyler, TX, 75701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427261346 | Clay Cannon | Individual | General Practice Dentistry | Tyler, TX |
| 1780254847 | Robert Brock | Individual | Dentist | Tyler, TX |
| 1447023718 | Robert Brock DDS Pllc | Organization | Dental Clinic/Center | Tyler, TX |
Verify this record
Cross-check NPI 1245436187 against the authoritative CMS record: view Clay D Cannon, DDS, Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Clay D Cannon, DDS, Pllc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.