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Main Street Dental Llc
Customized Equipment (DME) in Canon City, Colorado
NPI 1669846838

Main Street Dental Llc is a Customized Equipment (DME) based in Canon City, CO and is specialized in Customized Equipment. Main Street Dental Llc practices in Canon City, CO. The NPI Number for Main Street Dental Llc is 1669846838 and holds a License No. (Colorado).

The current practice location address for Main Street Dental Llc is 330 Main St, Canon City, CO and can be reached out via phone at 719-275-3255 and via fax at 719-275-3863.

Location: 330 Main St, Canon City, CO, 81212-3732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669846838
Provider Name
Main Street Dental Llc
Credential
Provider Entity Type
Organization
Address
330 Main St, Canon City, CO, 81212-3732
Phone Number
719-275-3255
Fax Number
719-275-3863
Provider Enumeration Date
11/25/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
330 Main St
City
Canon City
State
Colorado
Zip
81212-3732
Phone Number
719-275-3255
Fax Number
719-275-3863
person
Provider Business Mailing Address Details
Address
330 Main St
City
Canon City
State
Colorado
Zip
81212-3732
Phone Number
719-275-3255
Fax Number
719-275-3863
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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