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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STAR DENTAL CANON CITY
NPI 1912811910
Dentist - General Practice in Canon City, CO

Active since September 29, 2026
410 MACON AVE, CANON CITY, CO 81212(719) 276-0128 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Star Dental Canon City NPPES

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

STAR DENTAL CANON CITY (NPI 1912811910) is a healthcare organization registered as a general practice in Canon City, Colorado and active in the NPI registry since September 2026. The organization lists Gary Moore, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1912811910
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTAR DENTAL CANON CITY
Location Address410 MACON AVECanon City, CO 81212-3225
Mailing Address410 Macon AveCanon City, CO 81212-3225 · (719) 276-0128
Phone(719) 276-0128
Organization SubpartNo
Authorized OfficialGary MooreOwner Dentist · (719) 640-6407
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1912811910 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 ListedClinic/Center · DentalTaxonomy 261QD0000X
410 MACON AVE, Canon City, CO 81212
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Other Providers at the Same Location NPPES 6

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
CASCADE MEDICAL AND DENTAL LLC
Clinic/Center (Dental)
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 Star Dental Canon City's NPI number?

The NPI number for Star Dental Canon City is 1912811910. It was assigned to this organization in the NPPES registry on September 29, 2026.

Where is Star Dental Canon City located?

Star Dental Canon City is located at 410 Macon Ave, Canon City, CO 81212. The listed phone number is (719) 276-0128.

What is Star Dental Canon City'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 Star Dental Canon City was last updated on September 29, 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.