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 Winter Park, PA

Organization Dentist · NPI 1306138045

Main Street Children's Dentistry and Orthodontics of Winter Park, PA is a Dentist in Winter Park, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
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

501 N Orlando Ave Ste 233
Winter Park, FL 32789-2947
Phone: (407) 622-1000
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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)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1306138045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Credentialing Supervisor · (305) 274-2499
NPI enumeratedMay 13, 2011
Last updated in NPPESJuly 21, 2022
Mailing address13195 Sw 134th St Fl 2, Miami, FL 33186-4461

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