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General NPI Number Information
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NPI Number | 1457354870
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Entity Type | Individual
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Provider Name | TIMOTHY CHASE CANTY DDS, MPH, MAGD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8086 E BROAD ST
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-8024
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Country | US
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Telephone | 847-740-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 2868 STELZER RD UNIT 301
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City | COLUMBUS
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State | OH
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Zip | 43219-3133
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Country | US
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Telephone | 184-774-0290
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26430
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19-15320
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DENT1384
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.023585
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1002349-15
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License Number State | WI
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