MAIN STREET CHILDREN'S DENTISTRY AT PALMETTO HOSPITAL PA NPI 1386756641

NPI Information

MAIN STREET CHILDREN'S DENTISTRY AT PALMETTO HOSPITAL, PA is a pediatric dentistry dentist in Hialeah, 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 AT PALMETTO HOSPITAL, PA NPI is 1386756641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7150 W 20 AVE
SUITE 103
HIALEAH, FL
ZIP 33016
Phone: (305) 556-9020

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

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/21/2014.

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:

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