Organization · Type 2 NPI

Canon Kids Dental & Braces, PC

Dentist · Canon City, CO

NPI number 1003776097 Active

Practice location

1201 Royal Gorge Blvd
Canon City, CO 81212-3835

Call (719) 285-0994 Map

Fax (719) 285-0996

Mailing address

2041 Pepper Ln
Pueblo, CO 81005-3276

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

3 other providers at this address

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About NPI 1003776097

Canon Kids Dental & Braces, PC's National Provider Identifier is 1003776097, issued on Nov 13, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Canon City, CO. The record was last updated on Nov 13, 2025.