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

Main Street Children's Dentistry and Orthodontics of Wellington, PA

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1760687149

Main Street Children's Dentistry and Orthodontics of Wellington, PA is an Orthodontics and Dentofacial Orthopedics Dentistry in Royal Palm Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11903 Southern Blvd Ste #102
Royal Palm Beach, FL 33411
Phone: (561) 422-2940
Fax: (561) 422-2945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X (FL)

Record details

NPI number1760687149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Provider Relations · (305) 274-2499
NPI enumeratedJune 18, 2007
Last updated in NPPESAugust 20, 2014
Mailing address13195 Sw 134 St, 2nd Floor, Miami, FL 33186

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