Main Street Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAIN STREET DENTAL LLC

Practice address

200 Grandview Dr
Salem, IN 47167-1022

Phone

(812) 404-1000

NPI assigned

Aug 3, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kade Duane Roach, DDSNPI 1740108265

Title

Dr./Owner

Phone

(812) 404-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kade Duane Roach, DDS

  • General Practice Dentistry
  • Salem, IN
  • NPI 1740108265
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1265355432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRANDVIEW DR",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671022",
            "telephone_number": "812-404-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRANDVIEW DR",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671022",
            "telephone_number": "812-404-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "KADE",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "812-404-1000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maricor G Lim, PT
• Louisville Optometric Centers, III PSC
• Louisville Optometric Centers, III PSC
• Rebecca Cauble Marshall, R.PH.
• Martin F Kennedy DDS PC
• Breanna Tyler Martin, NP
• Lindsee Martinez
• Danielle McIntyre

• General Practice Dentistry in Salem, IN
• Providers in Salem, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.