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Main Street Dental, LLC

Dentist in Pratt, KS · enumerated 2008 · authorized official John Mathes, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154570448

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Registry record

Entity type Organization (Type 2)
Legal business name Main Street Dental, LLC
Practice address 603 S Main St, Pratt, KS, 67124
Phone (620) 672-9922
Fax (620) 672-9966
Enumeration date Sep 11, 2008
Last updated in NPPES Feb 10, 2009

Taxonomy & classification

122300000X Dentist Dental Providers · License 5971 (KS) Primary
122300000X Dentist Dental Providers · License 60593 (KS) Secondary

Authorized official

Name John Mathes
Title Owner
Phone (620) 672-9922

Other identifiers

Identifier Type State Issuer
116863 Other KS BLUE CROSS & BLUE SHEILD
100222640A Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Main Street Dental, LLC?
Main Street Dental, LLC is registered in NPPES as a Dentist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-10.