Main Street Dental Llc
General Practice
330 Main St, Canon City
Colorado, 81212-3732
719-275-3255 719-275-3863
Main Street Dental Llc is a General Practice in Canon City, Colorado. It is located at 330 Main St, Canon City and it's customer support contact number is 719-275-3255. The authorized person of Main Street Dental Llc is Jacob Beus, DMD who is Owner of this DME and his contact number is 719-275-3255.
Main Street Dental Llc is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
DME Supplier Details:
Main Street Dental Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Main Street Dental Llc |
| Type: | General Practice |
| Location: | 330 Main St, Canon City,
Colorado, 81212-3732 |
| Phone: | 719-275-3255 |
| Fax: | 719-275-3863 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Jacob Beus |
| Credentials: | DMD |
| Position: | Owner |
| Contact Number: | 719-275-3255 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1669846838 |
| NPI Enumeration Date: | 25 Nov, 2015 |
| NPI Last Update On: | 09 Feb, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Main Street Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Customized Equipment | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 330 Main St,
Canon City, Colorado |
| Zip: | 81212-3732 |
| Phone Number: | 719-275-3255 |
Patients can reach Main Street Dental Llc at
330 Main St, Canon City, Colorado or can
call on customer care at 719-275-3255.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.