Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Main Street Children's Dentistry and Orthodontics at London Square, PA

Organization Dentist · NPI 1174859896

Main Street Children's Dentistry and Orthodontics at London Square, PA provides Dentist services in Miami, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13400 SW 120th St Ste 310
Miami, FL 33186-7440 Not confirmed with CMS for 12 years — call before visiting
Phone: (305) 255-9541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Dentist Taxonomy 122300000X · Licence DN5380 (FL)
General Practice Dentistry Taxonomy 1223G0001X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1174859896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Provider Relations Specialist · (305) 274-2499
Other names Dental Associates Of West Kendall
NPI enumeratedOctober 30, 2009
Last updated in NPPESAugust 4, 2014
Mailing address13195 Sw 134th St Fl 2, Miami, FL 33186-4461

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