OrganizationActive
Canon Kids Dental & Braces, PC
NPI 1003776097 · Dentist · Canon City, CO
Canon Kids Dental & Braces, PC is a Dentist organization in Canon City, CO (NPI 1003776097).
Provider details
- NPI number
- 1003776097
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Enjoli Guillory, Director of Rcm(719) 464-0753
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1201 Royal Gorge Blvd
Canon City, CO 81212-3835
Phone: (719) 285-0994
Fax: (719) 285-0996
Street-level locationGet directions
Mailing address
2041 Pepper Ln
Pueblo, CO 81005-3276
Registry dates
- Enumerated
- 2025-11-13
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Canon Kids Dental & Braces, PC's NPI number?
- Canon Kids Dental & Braces, PC's National Provider Identifier (NPI) is 1003776097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canon Kids Dental & Braces, PC?
- Canon Kids Dental & Braces, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Canon Kids Dental & Braces, PC located?
- Canon Kids Dental & Braces, PC's practice location on file with NPPES is 1201 Royal Gorge Blvd, Canon City, CO 81212-3835.
- What is Canon Kids Dental & Braces, PC's phone number?
- The practice phone number listed in the NPPES registry for Canon Kids Dental & Braces, PC is (719) 285-0994.
- Who is the authorized official for Canon Kids Dental & Braces, PC?
- The authorized official listed on Canon Kids Dental & Braces, PC's NPPES record is Enjoli Guillory, Director of Rcm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canon Kids Dental & Braces, PC's NPI active?
- Yes — Canon Kids Dental & Braces, PC's NPI (1003776097) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.