OrganizationActive
Aj Canon Dental
NPI 1639561467 · Dental Clinic/Center · Canon City, CO
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.