MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION PA NPI 1770695033

NPI Information

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION, PA is a pediatric dentistry dentist in Plantation, 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 PLANTATION, PA NPI is 1770695033. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Main Street Children's Dentistry Of Plantation.

The provider's business location address is:

318 S UNIVERSITY DR
PLANTATION, FL
ZIP 33324-344
Phone: (954) 474-8849

The provider's authorized official is Melody Parrish .
The authorized official title is Director Of Operations 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 8/22/2020.

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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