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

Main Street Orthodontics of Miami Lakes, PA

Organization Pediatric Dentistry · NPI 1154653913

Main Street Orthodontics of Miami Lakes, PA provides Pediatric Dentistry in Miami Lakes, Florida. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15600 NW 67th Ave Ste 110
Miami Lakes, FL 33014-2174 Not confirmed with CMS for 14 years — call before visiting
Phone: (305) 823-8831
Fax: (305) 823-8799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1154653913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melvyn Gober — Ceo · (305) 274-2499
Other names Main Street Children'S Dentistry Of Miami Lakes
NPI enumeratedFebruary 4, 2010
Last updated in NPPESJuly 10, 2012
Mailing address13195 Sw 134th St, 2nd Floor, Miami, FL 33186-4461

Other providers in Miami Lakes