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CASCADE MEDICAL & DENTAL
NPI 1689195836
Clinic/Center - Dental in Canon City, CO

Active since June 28, 2017
410 MACON AVE, CANON CITY, CO 81212(719) 276-0117 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 28, 2017 (3 updates tracked since 2017).

About Cascade Medical & Dental NPPES

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

CASCADE MEDICAL & DENTAL (NPI 1689195836) is a healthcare organization registered as a dental in Canon City, Colorado and active in the NPI registry since June 2017. The organization maintains 2 additional practice locations and lists Clinton Scott Timmerman, Manager, as its authorized official.

NPPES Registry Identity

NPI1689195836
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCASCADE MEDICAL AND DENTAL LLC
Location Address410 MACON AVECanon City, CO 81212-3225
Mailing Address807 S Dogwood CtPueblo West, CO 81007-7564 · (206) 818-0769
Phone(719) 276-0117
Organization SubpartNo
Authorized OfficialClinton Scott TimmermanManager · (206) 818-0769
Enumeration DateJune 28, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1689195836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CO · DEN.00010745
410 MACON AVE, Canon City, CO 81212
Open in Google Maps ↗

Other Names 1

Doing Business AsCascade Medical & Dental

Secondary Practice Locations 2

Location 1807 S Dogwood CtPueblo West, CO 81007-7564 · Phone (206) 818-0769
Location 21600 N Grand Ave Ste 140Pueblo, CO 81003-2755 · Phone (719) 564-1542

Other Providers at the Same Location NPPES 5

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

K L HALL DMD PC
Dentist
410 MACON AVE
CANON CITY, CO 81212
Fremont County (719) 276-0117
ORCHARD SPRINGS DENTAL
Dentist
410 MACON AVE
CANON CITY, CO 81212
Fremont County (719) 276-0117
JANINE MARIE BRADLEY RDH
Dental Hygienist
410 MACON AVE
CANON CITY, CO 81212
Fremont County (719) 276-0117
DR. CLINTON SCOTT TIMMERMAN DDS
Dentist (General Practice)
410 MACON AVE
CANON CITY, CO 81212
Fremont County (719) 276-0117
DR. KIMRA L HALL DMD
Dentist (General Practice)
410 MACON AVE
CANON CITY, CO 81212
Fremont County (719) 276-0117

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 Cascade Medical And Dental LLC's NPI number?

The NPI number for Cascade Medical And Dental LLC is 1689195836. It was assigned to this organization in the NPPES registry on June 28, 2017. The provider is doing business as Cascade Medical & Dental.

Where is Cascade Medical And Dental LLC located?

Cascade Medical And Dental LLC is located at 410 Macon Ave, Canon City, CO 81212. The listed phone number is (719) 276-0117.

What is Cascade Medical And Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Cascade Medical And Dental LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.