OrganizationActive
Main Street Dental LLC
NPI 1669846838 · General Practice Dentistry · Canon City, CO
Main Street Dental LLC is a General Practice Dentistry organization in Canon City, CO (NPI 1669846838).
Provider details
- NPI number
- 1669846838
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Beus, Owner(719) 275-3255
Specialties & taxonomies
Dental Providers
- Customized Equipment (DME)332BC3200X
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
330 Main St
Canon City, CO 81212-3732
Phone: (719) 275-3255
Fax: (719) 275-3863
Street-level locationGet directions
Mailing address
330 Main St
Canon City, CO 81212-3732
Registry dates
- Enumerated
- 2015-11-25
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Frequently asked questions
- What is Main Street Dental LLC's NPI number?
- Main Street Dental LLC's National Provider Identifier (NPI) is 1669846838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Dental LLC?
- Main Street Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Main Street Dental LLC located?
- Main Street Dental LLC's practice location on file with NPPES is 330 Main St, Canon City, CO 81212-3732.
- What is Main Street Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Dental LLC is (719) 275-3255.
- Who is the authorized official for Main Street Dental LLC?
- The authorized official listed on Main Street Dental LLC's NPPES record is Jacob Beus, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Dental LLC's NPI active?
- Yes — Main Street Dental LLC's NPI (1669846838) is active in the NPPES registry as of the last update on 2023-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.