MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON (NPI# 1275084345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275084345 |
| Entity Type | Organization |
| Organization Name | MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON |
| Practice Address |
11903 Southern Blvd Suite 102 Royal Palm Beach FL 33411-7644 |
| Practice Telephone | 5614592733 |
| Mailing Telephone | 5614592733 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | STEPHANIE GOMEZ (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN22345 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629272349 | Main Street Children's Dentistry of Wellington | Dentist | 12788 W Forest Hill Blvd, Wellington, FL 33414-4703 | 2007-06-14 |
| Street Address |
11903 SOUTHERN BLVD SUITE 102 |
| City | ROYAL PALM BEACH |
| State | FL |
| Zip Code | 33411-7644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942743778 | Patrice Petion | Nurse Practitioner | 11903 Southern Blvd, Royal Palm Beach, FL 33411-7644 | 2016-11-28 |
| 1336691344 | Francis Martinez Carmona | Dentist | 11903 Southern Blvd, Unit 102, Royal Palm Beach, FL 33411-7644 | 2016-10-26 |
| 1053735571 | David Carmona | Dentist | 11903 Southern Blvd, Suite 102, Royal Palm Beach, FL 33411-7644 | 2014-02-05 |
| 1942622568 | Advanced Mental Health Care Inc. | Psychiatry & Neurology | 11903 Southern Blvd, Ste 104, Royal Palm Beach, FL 33411-7644 | 2014-01-16 |
| 1689946824 | Us Medical Care Wellington, LLC | General Practice | 11903 Southern Blvd, Suit 108, Royal Palm Beach, FL 33411-7644 | 2012-02-03 |
| 1205163250 | Royal Palm Beach Medical Group LLC | Specialist | 11903 Southern Blvd, Suite 108, Royal Palm Beach, FL 33411-7644 | 2009-11-12 |
| 1598099830 | Dr. Sears Center for Health and Wellness, Inc. | Clinic/Center | 11903 Southern Blvd, Ste 208, Royal Palm Beach, FL 33411-7644 | 2009-09-18 |
| 1699913111 | Family Dentist of Palm Beach | Dentist | 11903 Southern Blvd, Ste 116, Royal Palm Beach, FL 33411-7644 | 2009-01-22 |
| 1396947982 | Mark C Deluca | Psychiatry & Neurology | 11903 Southern Blvd, Suite 104, Royal Palm Beach, FL 33411-7644 | 2007-06-05 |
| 1508930447 | Brad Lipson | Family Medicine | 11903 Southern Blvd, Suite 108, Royal Palm Beach, FL 33411-7644 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275587370 | Deborah S. Lubell | Dentist | 685 Royal Palm Beach Blvd, Suite #201, Royal Palm Beach, FL 33411-7642 | 2006-05-22 |
| 1336691344 | Francis Martinez Carmona | Dentist | 11903 Southern Blvd, Unit 102, Royal Palm Beach, FL 33411-7644 | 2016-10-26 |
| 1043607310 | Hirsch Dentistry | Dentist | 685 Royal Palm Beach Blvd, Royal Palm Beach, FL 33411-7642 | 2015-04-23 |
| 1548489545 | Jason Philip Hirsch | Dentist | 685 Royal Palm Beach Blvd, Royal Palm Beach, FL 33411-7642 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
| 1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
| 1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
| 1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
| 1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | ROYAL PALM BEACH |
| Zip Code | 33411 |
Please comment or provide details below to improve the information on MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.