MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON NPI 1275084345

NPI Information

NPI: 1275084345
Provider Name: MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
11903 SOUTHERN BLVD
SUITE 102
ROYAL PALM BEACH, FL
ZIP 33411
Phone: (561) 459-2733
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MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON is a pediatric dentistry dentist in Royal Palm Beach, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON NPI is 1275084345. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11903 SOUTHERN BLVD
SUITE 102
ROYAL PALM BEACH, FL
ZIP 33411-644
Phone: (561) 459-2733

The provider's authorized official is Stephanie Gomez .
The authorized official title is Credentialing Coordinator and has the following contact phone number (305) 274-2499.

The enumeration date for this NPI number is 10/24/2016 and was last updated on 10/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DN22345	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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