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

Main Street Childrens Dentistry and Orthodontics Waterford Lakes PLLC

Organization Pediatric Dentistry · NPI 1881161297

Main Street Childrens Dentistry and Orthodontics Waterford Lakes PLLC is a Pediatric Dentistry in Orlando, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12150 Lake Underhill Rd
Orlando, FL 32825-5012
Phone: (321) 319-7027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1881161297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Credentialing Supervisor · (305) 274-2499
NPI enumeratedOctober 24, 2018
Last updated in NPPESOctober 24, 2018
Mailing address12150 Lake Underhill Rd, Orlando, FL 32825-5012

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