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 of Ft Myers, PA

Organization Dentist · NPI 1962794602

Main Street Children's Dentistry and Orthodontics of Ft Myers, PA is a Dentist in Fort Myers, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
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

13195 Metro Pkwy
Fort Myers, FL 33966-4810
Phone: (239) 768-2485
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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
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1962794602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Provider Relations Specialist · (305) 274-2499
NPI enumeratedMay 13, 2011
Last updated in NPPESAugust 1, 2014
Mailing address13195 Sw 134th St Fl 2, Miami, FL 33186-4461

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