CANON CITY DENTAL & IMPLANTS, PC
NPI 1639039621
Dentist in Canon City, CO

Active since November 13, 2025
1201 ROYAL GORGE BLVD, CANON CITY, CO 81212(719) 285-0241(719) 285-0251 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Canon City Dental & Implants, Pc NPPES

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

CANON CITY DENTAL & IMPLANTS, PC (NPI 1639039621) 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

NPI1639039621
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCANON CITY DENTAL & IMPLANTS, PC
Location Address1201 ROYAL GORGE BLVDCanon City, CO 81212-3835
Mailing Address2041 Pepper LnPueblo, CO 81005-3276 · (719) 285-0241 · Fax (719) 285-0251
Fax(719) 285-0251
Organization SubpartNo
Authorized OfficialEnjoli GuilloryDirector Of Rcm · (719) 464-0753
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
NPI 1639039621 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

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


The following 4 providers are registered at the same or a nearby location.

Optometrist
1201 ROYAL GORGE BLVD
CANON CITY, CO 81212
Dentist
1201 ROYAL GORGE BLVD
CANON CITY, CO 81212
Optometrist
1201 ROYAL GORGE BLVD
CANON CITY, CO 81212
Optometrist
1201 ROYAL GORGE BLVD
CANON CITY, CO 81212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639039621, enumerated as an "organization" on November 13, 2025.

The provider is located at 1201 ROYAL GORGE BLVD CANON CITY, CO 81212 and the phone number is (719) 285-0241.

Dentist with taxonomy code 122300000X.