Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Main Street Children's Dentistry and Orthodontics at London Square, PA

Organization Dentist · NPI 1174859896

Main Street Children's Dentistry and Orthodontics at London Square, PA is a Dentist in Miami, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13400 SW 120th St Ste 310
Miami, FL 33186-7440
Phone: (305) 255-9541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Dentist Taxonomy 122300000X · Licence DN5380 (FL)
General Practice Dentistry Taxonomy 1223G0001X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1174859896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Provider Relations Specialist · (305) 274-2499
Other names Dental Associates Of West Kendall
NPI enumeratedOctober 30, 2009
Last updated in NPPESAugust 4, 2014
Mailing address13195 Sw 134th St Fl 2, Miami, FL 33186-4461

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