Organization · Type 2 NPI

Main Street Dental LLC

General Practice Dentistry · Canon City, CO

NPI number 1669846838 Active

Practice location

330 Main St
Canon City, CO 81212-3732

Fax (719) 275-3863

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed
Customized Equipment (DME) 332BC3200XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1669846838

Main Street Dental LLC's National Provider Identifier is 1669846838, issued on Nov 25, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Canon City, CO. The record was last updated on Feb 9, 2023.