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 of Ft Myers, PA

Organization Dentist · NPI 1962794602

Main Street Children's Dentistry and Orthodontics of Ft Myers, PA provides Dentist services in Fort Myers, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
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

13195 Metro Pkwy
Fort Myers, FL 33966-4810 Not confirmed with CMS for 12 years — call before visiting
Phone: (239) 768-2485
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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
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1962794602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Provider Relations Specialist · (305) 274-2499
NPI enumeratedMay 13, 2011
Last updated in NPPESAugust 1, 2014
Mailing address13195 Sw 134th St Fl 2, Miami, FL 33186-4461

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