25 Cities With the Most Fluoride in Drinking Water (2026)

By Echo Water Research Team 8 min read
25 Cities With the Most Fluoride in Drinking Water (2026)
25
Cities Analyzed
182
Total Contaminants Above Guidelines
10,598
People Affected

We analyzed tap water quality data for hundreds of cities across the United States to identify those with the highest levels of fluoride. This ranking is based on 2026 data from the EPA and EWG databases.

Fluoride is a contaminant of growing concern in drinking water. The cities below have the highest detected levels based on the most recent testing data available.

Methodology: Cities are ranked by the detected level of fluoride (descending), showing those with the highest concentrations first. Data sourced from the EPA Safe Drinking Water Information System (SDWIS) and the Environmental Working Group (EWG) Tap Water Database. Only cities with available EWG testing data are included.
1

Morrisonville, Illinois

Morrisonville • 1,068 people served
14Above EWG Guidelines
15Total Detected
1Above Legal Limit
ArsenicBromodichloromethaneBromoformChloroformDibromoacetic acidDibromochloromethane

Morrisonville has fluoride detected at 6.79 ppm. 15 total contaminants were found in the water supply.

2

Chilili, New Mexico

Chilili Water Users Association • 170 people served
9Above EWG Guidelines
11Total Detected
1Above Legal Limit
BromodichloromethaneBromoformDibromoacetic acidDibromochloromethaneFluorideHaloacetic acids (HAA5)

Chilili has fluoride detected at 6.50 ppm. 11 total contaminants were found in the water supply.

3

Lovington, Texas

Terrells Mobile Home Park • 60 people served
6Above EWG Guidelines
7Total Detected
2Above Legal Limit
ArsenicBromoformFluorideNitrateNitrate and nitriteUranium

Lovington has fluoride detected at 5.90 ppm. 7 total contaminants were found in the water supply.

4

San Simon, Arizona

San Simon Domestic Water Improvement District • 300 people served
5Above EWG Guidelines
7Total Detected
1Above Legal Limit
ArsenicFluorideNitrateNitrate and nitriteTotal trihalomethanes (TTHMs)

San Simon has fluoride detected at 5.62 ppm. 7 total contaminants were found in the water supply.

5

Lordsburg, New Mexico

Lordsburg Water Supply System • 3,213 people served
8Above EWG Guidelines
10Total Detected
1Above Legal Limit
Radium, combined (-226 and -228)ArsenicBromoformDibromochloromethaneFluorideNitrate and nitrite

Lordsburg has fluoride detected at 5.53 ppm. 10 total contaminants were found in the water supply.

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6

Brooklyn, Michigan

Brooklyn • 1,313 people served
4Above EWG Guidelines
6Total Detected
1Above Legal Limit
FluorideHaloacetic acids (HAA5)Total trihalomethanes (TTHMs)Perfluorooctane sulfonate (PFOS)

Brooklyn has fluoride detected at 5.49 ppm. 6 total contaminants were found in the water supply.

7

Richey, Montana

Richey, Town of • 0 people served
5Above EWG Guidelines
9Total Detected
1Above Legal Limit
Bromochloroacetic acidDibromoacetic acidFluorideHaloacetic acids (HAA5)Total trihalomethanes (TTHMs)Bromoform

Richey has fluoride detected at 5.40 ppm. 9 total contaminants were found in the water supply.

8

Gail, Texas

Borden County Water System • 275 people served
9Above EWG Guidelines
11Total Detected
1Above Legal Limit
ArsenicBromoformDibromoacetic acidDibromochloromethaneFluorideHaloacetic acids (HAA5)

Gail has fluoride detected at 5.32 ppm. 11 total contaminants were found in the water supply.

9

Lakemont, Georgia

Laurel Ridge S/d • 88 people served
6Above EWG Guidelines
6Total Detected
1Above Legal Limit
BromoformChloroformDibromochloromethaneFluorideTotal trihalomethanes (TTHMs)Manganese

Lakemont has fluoride detected at 5.07 ppm. 6 total contaminants were found in the water supply.

10

Wolfforth, Texas

Seven Estates • 278 people served
13Above EWG Guidelines
17Total Detected
1Above Legal Limit
ArsenicBromochloroacetic acidBromodichloromethaneBromoformChloroformDibromoacetic acid

Wolfforth has fluoride detected at 4.96 ppm. 17 total contaminants were found in the water supply.

11

Smyer, Texas

City of Smyer • 474 people served
9Above EWG Guidelines
13Total Detected
2Above Legal Limit
ArsenicBromoformDibromoacetic acidDibromochloromethaneFluorideHaloacetic acids (HAA5)

Smyer has fluoride detected at 4.95 ppm. 13 total contaminants were found in the water supply.

12

Rescue, Virginia

Rescue Waterworks • 203 people served
2Above EWG Guidelines
3Total Detected
1Above Legal Limit
FluorideNitrate and nitriteRadium, combined (-226 and -228)

Rescue has fluoride detected at 4.88 ppm. 3 total contaminants were found in the water supply.

13

Ropesville, Texas

City of Ropesville • 0 people served
10Above EWG Guidelines
13Total Detected
1Above Legal Limit
ArsenicBromoformDibromoacetic acidDibromochloromethaneFluorideHaloacetic acids (HAA5)

Ropesville has fluoride detected at 4.83 ppm. 13 total contaminants were found in the water supply.

14

Wellman, Texas

City of Wellman • 200 people served
10Above EWG Guidelines
13Total Detected
2Above Legal Limit
ArsenicBromoformDibromoacetic acidDibromochloromethaneFluorideHaloacetic acids (HAA5)

Wellman has fluoride detected at 4.68 ppm. 13 total contaminants were found in the water supply.

15

Seagraves, Texas

City of Seagraves • 0 people served
9Above EWG Guidelines
12Total Detected
2Above Legal Limit
ArsenicBromoformDibromoacetic acidDibromochloromethaneFluorideHaloacetic acids (HAA5)

Seagraves has fluoride detected at 4.68 ppm. 12 total contaminants were found in the water supply.

16

Carrollton, Virginia

Willing Workers Club • 31 people served
1Above EWG Guidelines
1Total Detected
1Above Legal Limit
Fluoride

Carrollton has fluoride detected at 4.41 ppm. 1 total contaminants were found in the water supply.

17

Newberry Springs, California

Ironwood Camp • 40 people served
12Above EWG Guidelines
15Total Detected
2Above Legal Limit
ArsenicBromodichloromethaneBromoformChloroformDibromoacetic acidDibromochloromethane

Newberry Springs has fluoride detected at 4.19 ppm. 15 total contaminants were found in the water supply.

18

Circle, Montana

Circle, Town of • 644 people served
7Above EWG Guidelines
8Total Detected
1Above Legal Limit
BromodichloromethaneBromoformDibromoacetic acidDibromochloromethaneFluorideHaloacetic acids (HAA5)

Circle has fluoride detected at 4.17 ppm. 8 total contaminants were found in the water supply.

19

Courtland, Virginia

Town of Courtland • 1,284 people served
2Above EWG Guidelines
2Total Detected
1Above Legal Limit
FluorideRadium, combined (-226 and -228)

Courtland has fluoride detected at 4.13 ppm. 2 total contaminants were found in the water supply.

20

New Home, Texas

City of New Home • 326 people served
9Above EWG Guidelines
11Total Detected
2Above Legal Limit
ArsenicBromoformDibromoacetic acidFluorideHaloacetic acids (HAA5)Nitrate

New Home has fluoride detected at 4.12 ppm. 11 total contaminants were found in the water supply.

21

Bismarck, Montana

Rainbow Estates • 30 people served
3Above EWG Guidelines
4Total Detected
1Above Legal Limit
FluorideTotal trihalomethanes (TTHMs)Chloroform

Bismarck has fluoride detected at 4.10 ppm. 4 total contaminants were found in the water supply.

22

Plains, Texas

City of Plains • 0 people served
9Above EWG Guidelines
12Total Detected
2Above Legal Limit
ArsenicBromoformDibromoacetic acidDibromochloromethaneFluorideHaloacetic acids (HAA5)

Plains has fluoride detected at 4.04 ppm. 12 total contaminants were found in the water supply.

23

Umbarger, Texas

Umbarger Community Water Supply • 120 people served
9Above EWG Guidelines
11Total Detected
0Above Legal Limit
ArsenicBromodichloromethaneDibromochloromethaneFluorideNitrateNitrate and nitrite

Umbarger has fluoride detected at 4 ppm. 11 total contaminants were found in the water supply.

24

Blue Jacket, Oklahoma

Blue Jacket Public Works Authority • 274 people served
5Above EWG Guidelines
7Total Detected
0Above Legal Limit
BromodichloromethaneBromoformDibromochloromethaneRadium, combined (-226 and -228)Chloroform

Blue Jacket has fluoride detected at 3.92 ppm. 7 total contaminants were found in the water supply.

25

Ironton, Missouri

Killarney Shores Subdivision • 207 people served
6Above EWG Guidelines
9Total Detected
0Above Legal Limit
BromodichloromethaneDibromochloromethaneNitrate and nitriteRadium, combined (-226 and -228)Total trihalomethanes (TTHMs)Bromoform

Ironton has fluoride detected at 3.81 ppm. 9 total contaminants were found in the water supply.

What We Found: Key Patterns

The most frequently detected contaminants exceeding health guidelines across these cities are Fluoride, Total trihalomethanes (TTHMs), Bromoform. These appear repeatedly across different water systems and regions.

Geographically, the states most represented in this ranking are Texas (10), Montana (3), Virginia (3). Regional water sources, industrial activity, and agricultural runoff all contribute to local water quality variation.

Across all ranked cities, 182 contaminant readings exceed EWG health guidelines, but only 29 exceed EPA legal limits. This gap of 153 highlights how legal standards may not fully protect public health — EPA limits haven't been updated for many contaminants in decades.

Full Rankings Table

Rank City State Detected Above Guidelines Above Legal People Served
1 Morrisonville IL 15 14 1 1,068
2 Chilili NM 11 9 1 170
3 Lovington TX 7 6 2 60
4 San Simon AZ 7 5 1 300
5 Lordsburg NM 10 8 1 3,213
6 Brooklyn MI 6 4 1 1,313
7 Richey MT 9 5 1 0
8 Gail TX 11 9 1 275
9 Lakemont GA 6 6 1 88
10 Wolfforth TX 17 13 1 278
11 Smyer TX 13 9 2 474
12 Rescue VA 3 2 1 203
13 Ropesville TX 13 10 1 0
14 Wellman TX 13 10 2 200
15 Seagraves TX 12 9 2 0
16 Carrollton VA 1 1 1 31
17 Newberry Springs CA 15 12 2 40
18 Circle MT 8 7 1 644
19 Courtland VA 2 2 1 1,284
20 New Home TX 11 9 2 326
21 Bismarck MT 4 3 1 30
22 Plains TX 12 9 2 0
23 Umbarger TX 11 9 0 120
24 Blue Jacket OK 7 5 0 274
25 Ironton MO 9 6 0 207

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Frequently Asked Questions

What cities have the highest levels of fluoride?

Our analysis of 2026 data identified the cities with the highest detected levels of fluoride. See the full ranking above.

Is fluoride dangerous in drinking water?

Fluoride has known health risks at elevated levels. The EWG sets health guidelines that are often stricter than EPA legal limits to account for the latest research on long-term exposure.

How do I remove fluoride from my water?

Reverse osmosis (RO) systems are the most effective at removing a wide range of contaminants. Check the specific contaminant details for recommended filtration technology.

What is the EPA legal limit for fluoride?

EPA legal limits vary by contaminant and may differ from EWG health guidelines. See individual city reports for specific legal limit comparisons.

Data sources: Environmental Working Group (EWG) Tap Water Database, U.S. EPA Safe Drinking Water Information System (SDWIS)

Last updated: September 2026

Methodology: Contaminant levels are compared against both EPA legal limits (Maximum Contaminant Levels) and EWG health guidelines, which are often stricter and based on the latest scientific research.

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