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MAIN STREET DENTAL LLC
NPI 1669846838
Dentist - General Practice in Canon City, CO

Active since November 25, 2015
330 MAIN ST, CANON CITY, CO 81212(719) 275-3255(719) 275-3863 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2023, Dec 9, 2015, Nov 25, 2015 (3 updates tracked since 2015).

About Main Street Dental Llc NPPES

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

MAIN STREET DENTAL LLC (NPI 1669846838) is a healthcare organization registered as a general practice in Canon City, Colorado and active in the NPI registry since November 2015. The organization lists Jacob Beus, Owner, as its authorized official.

NPPES Registry Identity

NPI1669846838
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAIN STREET DENTAL LLC
Location Address330 MAIN STCanon City, CO 81212-3732
Mailing Address330 Main StCanon City, CO 81212-3732 · (719) 275-3255
Phone(719) 275-3255
Fax(719) 275-3863
Organization SubpartNo
Authorized OfficialJacob BeusOwner · (719) 275-3255
Enumeration DateNovember 25, 2015
Last NPPES UpdateFebruary 9, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1669846838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
330 MAIN ST, Canon City, CO 81212
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Other Providers at the Same Location NPPES

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

DR. JACOB BEUS DMD
Dentist (General Practice)
330 MAIN ST
CANON CITY, CO 81212
Fremont County (719) 275-3255

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 1669846838. It was assigned to this organization in the NPPES registry on November 25, 2015.

Where is Main Street Dental LLC located?

Main Street Dental LLC is located at 330 Main St, Canon City, CO 81212. The listed phone number is (719) 275-3255.

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 February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.