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 Orange City, PA

Organization Dentist · NPI 1124393822

Main Street Children's Dentistry and Orthodontics of Orange City, PA is a Dentist in Orange City, Florida. Registered with an NPI since 2012.

In the registry since
2012
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

2435 S Volusia Ave Ste D2
Orange City, FL 32763-7643
Phone: (386) 775-0833
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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 number1124393822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Provider Relations Specialist · (305) 274-2499
NPI enumeratedMarch 13, 2012
Last updated in NPPESMarch 26, 2015
Mailing address13195 Sw 134th St Fl 2, Miami, FL 33186-4461

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