MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION, PA (NPI# 1770695033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770695033 |
| Entity Type | Organization |
| Organization Name | MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION, PA |
| Other Organization Name | MAIN STREET CHILDREN'S DENTISTRY OF PLANTATION |
| Practice Address |
318 S University Dr Plantation FL 33324-3344 |
| Practice Telephone | 9544748849 |
| Mailing Telephone | 9544748849 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MELODY PARRISH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Main Street Children's Dentistry of Plantation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992809511 | Main Street Children's Dentistry and Orthodontics of Plantation, Pa | Dentist | 318 S University Dr, Plantation, FL 33324-3344 | 2006-09-12 |
| Street Address |
318 S UNIVERSITY DR |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992809511 | Main Street Children's Dentistry and Orthodontics of Plantation, Pa | Dentist | 318 S University Dr, Plantation, FL 33324-3344 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| 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 |
|---|---|---|---|---|
| 1730697723 | Shasan William Liou, Dmd, LLC | Dentist | 12331 Sw 3rd St Ste 5, Plantation, FL 33325-2813 | 2018-01-12 |
| 1235375551 | Nigel D. Grandison, Dmd | Dentist | 10117 Cleary Blvd, Plantation, FL 33324-1066 | 2008-12-17 |
| 1831334671 | Nacht, Trupkin, Babyak, Wilentz & Hirsch, D.d.s., P.a. | Dentist | 7400 N.w. 5th Street, Plantation, FL 33317 | 2008-12-09 |
| 1619178068 | George R Babyak | Dentist | 7400 Nw 5th St, Plantation, FL 33317-1606 | 2007-05-31 |
| 1306067558 | Abby Eileen Wilentz | Dentist | 7400 Nw 5th Street, Plantation, FL 33317 | 2007-05-02 |
| 1972651719 | Kathy Garcia | Dentist | 1019 S University Dr, Plantation, FL 33324-3321 | 2007-01-08 |
| 1164958526 | Divya Puri | Dentist | 815 S University Dr Ste 100, Plantation, FL 33324-3312 | 2017-05-04 |
| 1861853285 | Blair Chizner | Dentist | 7400 Nw 5th St, Plantation, FL 33317 | 2016-03-11 |
| 1457770778 | Pediatric Dental Land | Dentist | 8320 W Sunrise Blvd, Suite 210, Plantation, FL 33322-5435 | 2014-04-15 |
| 1801219563 | Dana Bari Storch | Dentist | 1019 S University Dr, Plantation, FL 33324-3321 | 2014-01-30 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
Please comment or provide details below to improve the information on MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION, PA.
| 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.