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MAIN STREET DENTAL, LLC
NPI 1154570448
Dentist in Pratt, KS

Active since September 11, 2008
603 S MAIN ST, PRATT, KS 67124(620) 672-9922(620) 672-9966 Get Directions Write a Review

NPPES record last updated: February 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main Street Dental, Llc NPPES

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

MAIN STREET DENTAL, LLC (NPI 1154570448) is a healthcare organization registered as a dentist in Pratt, Kansas and active in the NPI registry since September 2008. The organization lists John D. Mathes, Owner, as its authorized official.

NPPES Registry Identity

NPI1154570448
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMAIN STREET DENTAL, LLC
Location Address603 S MAIN STPratt, KS 67124-2630
Mailing Address603 S Main StPratt, KS 67124-2630 · (620) 672-9922 · Fax (620) 672-9966
Phone(620) 672-9922
Fax(620) 672-9966
Organization SubpartNo
Authorized OfficialJohn D. MathesOwner · (620) 672-9922
Enumeration DateSeptember 11, 2008
Last NPPES UpdateFebruary 10, 2009
✔ NPI 1154570448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in KS · 5971✔ Licensed in KS · 60593
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.
603 S MAIN ST, Pratt, KS 67124
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Other Identifiers 2

Other116863KS · Blue Cross & Blue Sheild
Medicaid100222640AKS

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

COTTONWOOD DENTAL PRATT, P.A.
Dentist
603 S MAIN ST
PRATT, KS 67124
Pratt County (620) 672-9922
KOLE ROBERT LOPEZ DDS
Dentist
603 S MAIN ST
PRATT, KS 67124
Pratt County (620) 672-9922

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 Main Street Dental, LLC's NPI number?

The NPI number for Main Street Dental, LLC is 1154570448. It was assigned to this organization in the NPPES registry on September 11, 2008.

Where is Main Street Dental, LLC located?

Main Street Dental, LLC is located at 603 S Main St, Pratt, KS 67124. The listed phone number is (620) 672-9922.

What is Main Street Dental, LLC'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 Main Street Dental, LLC was last updated on February 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.