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MAIN STREET CHILDREN'S DENTISTRY OF JUPITER PA NPI 1487766838


NPI Information

NPI: 1487766838
Provider Name: MAIN STREET CHILDREN'S DENTISTRY OF JUPITER, PA

Doing Business As: MAIN STREET ORTHODONTICS OF JUPITER

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
5440 MILITARY TRAIL SUITE 11
JUPITER, FL
ZIP 33458
Phone: (561) 745-2881
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MAIN STREET CHILDREN'S DENTISTRY OF JUPITER, PA is a pediatric dentistry dentist in Jupiter, 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 JUPITER, PA NPI is 1487766838. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Main Street Orthodontics Of Jupiter.

The provider's business location address is:

5440 MILITARY TRAIL SUITE 11
JUPITER, FL
ZIP 33458
Phone: (561) 745-2881

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric 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: 11/14/2023

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