1. Home
  2. Directory
  3. Indiana
  4. Salem
  5. Dentist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAIN STREET DENTAL LLC
NPI 1265355432
Dentist - General Practice in Salem, IN

Active since August 03, 2026
200 GRANDVIEW DR, SALEM, IN 47167(812) 404-1000 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 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 1265355432) is a healthcare organization registered as a general practice in Salem, Indiana and active in the NPI registry since August 2026. The organization lists Kade Duane Roach, Dr./owner, as its authorized official.

NPPES Registry Identity

NPI1265355432
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAIN STREET DENTAL LLC
Location Address200 GRANDVIEW DRSalem, IN 47167-1022
Mailing Address200 Grandview DrSalem, IN 47167-1022 · (812) 404-1000
Phone(812) 404-1000
Organization SubpartNo
Authorized OfficialKade Duane RoachDr./owner · (812) 404-1000
Enumeration DateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
✔ NPI 1265355432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
200 GRANDVIEW DR, Salem, IN 47167
Open in Google Maps ↗

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 2

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

DR. JAMES ROBERT AGAN DDS
Dentist (General Practice)
200 GRANDVIEW DR
SALEM, IN 47167
Washington County (812) 883-1999
KADE DUANE ROACH DDS
Dentist (General Practice)
200 GRANDVIEW DR
SALEM, IN 47167
Washington County (812) 404-1000

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 1265355432. It was assigned to this organization in the NPPES registry on August 3, 2026.

Where is Main Street Dental LLC located?

Main Street Dental LLC is located at 200 Grandview Dr, Salem, IN 47167. The listed phone number is (812) 404-1000.

What is Main Street Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Main Street Dental LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.