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 Winter Park, PA

Organization Dentist · NPI 1306138045

Main Street Children's Dentistry and Orthodontics of Winter Park, PA provides Dentist services in Winter Park, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
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

501 N Orlando Ave Ste 233
Winter Park, FL 32789-2947
Phone: (407) 622-1000
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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)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1306138045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Credentialing Supervisor · (305) 274-2499
NPI enumeratedMay 13, 2011
Last updated in NPPESJuly 21, 2022
Mailing address13195 Sw 134th St Fl 2, Miami, FL 33186-4461

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