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

Main Street Children's Dentistry of Miami Lakes, PLLC

Organization Pediatric Dentistry · NPI 1043611858

Main Street Children's Dentistry of Miami Lakes, PLLC provides Pediatric Dentistry in Miami Lakes, Florida. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15501 NW 67th Ave Ste 201
Miami Lakes, FL 33014-2108 Not confirmed with CMS for 11 years — call before visiting
Phone: (786) 577-4968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1043611858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gomez — Provider Relations · (305) 274-2499
NPI enumeratedSeptember 11, 2014
Last updated in NPPESJune 23, 2015
Mailing address15501 Nw 67th Ave Ste 201, Miami Lakes, FL 33014-2108

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