Main Street Dental Llc

LBN: Main Street Dental Llc
Main Street Dental Llc is an health care organization with primary practice located at 330 Main St , Canon City CO 81212-3732. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Suppliers / Customized Equipment. Dental Providers / General Practice is the primary health care specialty. Main Street Dental Llc can be contacted via phone (719) 275-3255, or through Beus, Jacob via phone (719) 275-3255.

Contact Information

Primary practice address
330 Main St Canon City CO 81212-3732
Phone: (719) 275-3255
Fax: (719) 275-3863
Website:
Map and Directions
Authorized official contact:
Name: Beus, Jacob Doctor of Dental Medicine (DMD)
Phone: (719) 275-3255

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1669846838
LBN Legal business name Main Street Dental Llc
DBA Doing business as
Authorized official Beus, Jacob Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2015
Last updated Feb 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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