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Canon Kids Dental & Braces, Pc

Dentist

ENJOLI GUILLORY
NPI: 1003776097Canon City, Colorado, 81212(719) 285-0994

About Canon Kids Dental & Braces, Pc

Canon Kids Dental & Braces, Pc is a healthcare organization providing Dentist services, registered under National Provider Identifier (NPI) number 1003776097. The authorized official for Canon Kids Dental & Braces, Pc is ENJOLI GUILLORY.

The organization is headquartered at 1201 ROYAL GORGE BLVD, Canon City, Colorado 81212. The main office can be reached at (719) 285-0994. Canon Kids Dental & Braces, Pc has been NPI-registered since 2025.

Locations & Contact

Primary Location

Address
1201 ROYAL GORGE BLVD
City
Canon City
State
Colorado
ZIP
81212-3835
Phone
(719) 285-0994
Fax
(719) 285-0996
View on Google Maps

Authorized Official

Name
ENJOLI GUILLORY

Mailing Address

Address
2041 PEPPER LN
City
PUEBLO
State
CO
ZIP
810053276

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Dentist
Classification
Dentist
Taxonomy Code
122300000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Canon Kids Dental & Braces, Pc's NPI number?
Canon Kids Dental & Braces, Pc's National Provider Identifier (NPI) is 1003776097. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Canon Kids Dental & Braces, Pc specialize in?
Canon Kids Dental & Braces, Pc specializes in Dentist.
Where is Canon Kids Dental & Braces, Pc located?
Canon Kids Dental & Braces, Pc practices at 1201 ROYAL GORGE BLVD, Canon City, Colorado 81212. You can reach them by phone at (719) 285-0994.
Does Canon Kids Dental & Braces, Pc accept Medicare?
Based on available data, Canon Kids Dental & Braces, Pc is not currently enrolled in the Medicare program.
Does Canon Kids Dental & Braces, Pc offer telehealth or virtual visits?
Canon Kids Dental & Braces, Pc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Canon Kids Dental & Braces, Pc holds NPI 1003776097, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.