Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Main Street Dental LLC

Organization General Practice Dentistry · NPI 1669846838

Main Street Dental LLC is a General Practice Dentistry in Canon City, Colorado. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 Main St
Canon City, CO 81212-3732
Phone: (719) 275-3255
Fax: (719) 275-3863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1669846838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Beus — Owner · (719) 275-3255
NPI enumeratedNovember 25, 2015
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address330 Main St, Canon City, CO 81212-3732

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