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

Main Street Children's Dentistry of Miami Lakes, PLLC

Organization Pediatric Dentistry · NPI 1043611858

Main Street Children's Dentistry of Miami Lakes, PLLC is a Pediatric Dentistry in Miami Lakes, Florida. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15501 NW 67th Ave Ste 201
Miami Lakes, FL 33014-2108
Phone: (786) 577-4968
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1043611858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Provider Relations · (305) 274-2499
NPI enumeratedSeptember 11, 2014
Last updated in NPPESJune 23, 2015
Mailing address15501 Nw 67th Ave Ste 201, Miami Lakes, FL 33014-2108

Other providers in Miami Lakes