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CANON KIDS DENTAL & BRACES, PC
NPI 1003776097
Dentist in Canon City, CO

Active since November 13, 2025
1201 ROYAL GORGE BLVD, CANON CITY, CO 81212(719) 285-0994(719) 285-0996 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canon Kids Dental & Braces, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANON KIDS DENTAL & BRACES, PC (NPI 1003776097) is a healthcare organization registered as a dentist in Canon City, Colorado and active in the NPI registry since November 2025. The organization lists Enjoli Guillory, Director Of Rcm, as its authorized official.

NPPES Registry Identity

NPI1003776097
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCANON KIDS DENTAL & BRACES, PC
Location Address1201 ROYAL GORGE BLVDCanon City, CO 81212-3835
Mailing Address2041 Pepper LnPueblo, CO 81005-3276 · (719) 285-0994 · Fax (719) 285-0996
Phone(719) 285-0994
Fax(719) 285-0996
Organization SubpartNo
Authorized OfficialEnjoli GuilloryDirector Of Rcm · (719) 464-0753
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1003776097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1201 ROYAL GORGE BLVD, Canon City, CO 81212
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YAH VISION LLC
Optometrist
1201 ROYAL GORGE BLVD
CANON CITY, CO 81212
Fremont County (719) 733-3060
CANON CITY DENTAL & IMPLANTS, PC
Dentist
1201 ROYAL GORGE BLVD
CANON CITY, CO 81212
Fremont County (719) 285-0241
SOL VISION MANAGEMENT LLC
Optometrist
1201 ROYAL GORGE BLVD
CANON CITY, CO 81212
Fremont County (719) 507-4518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canon Kids Dental & Braces, PC's NPI number?

The NPI number for Canon Kids Dental & Braces, PC is 1003776097. It was assigned to this organization in the NPPES registry on November 13, 2025.

Where is Canon Kids Dental & Braces, PC located?

Canon Kids Dental & Braces, PC is located at 1201 Royal Gorge Blvd, Canon City, CO 81212. The listed phone number is (719) 285-0994.

What is Canon Kids Dental & Braces, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Canon Kids Dental & Braces, PC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.