MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WINTER PARK PA NPI 1306138045

NPI Information

  • NPI: 1306138045
  • Provider Name: MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WINTER PARK, PA
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 501 N ORLANDO AVE STE 233
    WINTER PARK, FL
    ZIP 32789
  • Phone: (407) 622-1000

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NPI Details

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WINTER PARK, PA is a pediatric dentistry dentist in Winter Park, 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 AND ORTHODONTICS OF WINTER PARK, PA NPI is 1306138045. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 N ORLANDO AVE STE 233
WINTER PARK, FL
ZIP 32789-947
Phone: (407) 622-1000

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

The enumeration date for this NPI number is 5/13/2011 and was last updated on 7/21/2022.

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
1122300000XDentistDN5380FLORIDANo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
31223P0221XDentistPediatric DentistryYes

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: 11/21/2025

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