OrganizationActive
Aj Canon Dental
NPI 1639561467 · Dental Clinic/Center · Canon City, CO
Aj Canon Dental is a Dental Clinic/Center organization in Canon City, CO (NPI 1639561467).
Provider details
- NPI number
- 1639561467
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Allen Lee, Owner(650) 722-0005
- License
- 10543 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES 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
1227 S 9th St
Canon City, CO 81212-4211
Phone: (719) 285-4784
Fax: (719) 345-4120
Street-level locationGet directions
Mailing address
1227 S 9th St
Canon City, CO 81212-4211
Registry dates
- Enumerated
- 2015-03-03
- Last updated
- 2015-03-03
Frequently asked questions
- What is Aj Canon Dental's NPI number?
- Aj Canon Dental's National Provider Identifier (NPI) is 1639561467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aj Canon Dental?
- Aj Canon Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Aj Canon Dental located?
- Aj Canon Dental's practice location on file with NPPES is 1227 S 9th St, Canon City, CO 81212-4211.
- What is Aj Canon Dental's phone number?
- The practice phone number listed in the NPPES registry for Aj Canon Dental is (719) 285-4784.
- Who is the authorized official for Aj Canon Dental?
- The authorized official listed on Aj Canon Dental's NPPES record is Allen Lee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aj Canon Dental's NPI active?
- Yes — Aj Canon Dental's NPI (1639561467) is active in the NPPES registry as of the last update on 2015-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.