MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC


Address: 12150 Lake Underhill Rd, Orlando, FL 32825-5012
Phone: 3213197027

MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC (NPI# 1881161297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881161297
Entity Type Organization
Organization Name MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC
Practice Address 12150 Lake Underhill Rd
Orlando
FL 32825-5012
Practice Telephone 3213197027
Enumeration Date 2018-10-24
Last Update Date 2018-10-24
Authorized Official Name STEPHANIE GOMEZ (CREDENTIALING SUPERVISOR)
Authorized Official Telephone 3052742499
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Office Location

Street Address 12150 LAKE UNDERHILL RD
City ORLANDO
State FL
Zip Code 32825-5012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881255404 Planes Dental East Orlando Clinic/Center 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 2019-06-25
1649837550 Jessica Rivera Social Worker 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 2019-05-27
1326526708 Total Family Care LLC Family Medicine 106 North Dean Road, Suite 1, Orlando, FL 32825 2018-07-30
1285121772 Neurological Health Associates, L.L.C. Psychiatry & Neurology 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 2018-04-19
1336636075 Vijaya Laxmi Telu Nurse Practitioner 100 North Dean Rd Suite 101, Orlando, FL 32825 2018-04-18
1740795053 Anna Louise Morris Specialist/Technologist 10719 Fairhaven Way, Orlando, FL 32825 2017-12-08
1568973352 Darrenn G Cadet Behavior Technician 11121 Tortuga Bnd, Orlando, FL 32825 2017-10-19
1265942072 Raquel B Saliba Physical Therapist 250 South Chickasaw Trail, Orlando, FL 32825 2017-10-06
1528585890 Vreny Tatyana Gonzalez-casas Behavior Technician 3206 Mattson Dr, Orlando, FL 32825 2017-08-27
1184147803 Alexandra Grace Mcmanus Social Worker 11258 Point Sylvan Circle, Orlando, FL 32825 2017-07-25
Find all providers in zip 32825

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235697707 Pediatric Dental Group, LLC Dentist 12601 Narcoossee Rd, Unite 100a, Orlando, FL 32832 2019-03-04
1447726922 A&m Dental Group LLC Dentist 8255 Lee Vista Blvd Ste F-g, Orlando, FL 32829-8018 2018-10-22
1295152312 Hany S Azer Dentist 9161 Narcoossee Rd Ste 101b, Orlando, FL 32827 2014-03-26
1952664633 Michael P. Dimauro D.d.s., P.a. Dentist 7424 Docs Grove Cir, Orlando, FL 32819-8010 2012-06-19
1427255694 Olubisi O Aina Dentist 9161 Narcoossee Rd, Suite 101b, Orlando, FL 32827 2007-06-29
1285842658 Serese Cannon Brooks Dentist 12711 Narcoossee Rd Ste 100, Orlando, FL 32832-6991 2007-05-18
1801915541 David Lester Goldstein Dentist 7651 Ashey Park Court C, Suite 410, Orlando, FL 32835-6114 2007-03-27
1124143128 Kristin M Foley Dentist 1549 S Alafaya Trl Ste 200, Orlando, FL 32828-8962 2007-03-20
1851439293 Charles Morrison Robbins Dentist 508 N Mills, Suite B, Orlando, FL 32803 2007-02-01
1982785747 Mubashir A Chaudhry Dmd Pllc Dentist 907 Outer Rd, Orlando, FL 32814-6653 2006-10-18
Find all providers in ORLANDO

Competitor

Search similar providers

City ORLANDO
Zip Code 32825

Improve Information

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Dataset Information

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.

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