MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES, PLLC
NPI 1043611858
Dentist - Pediatric Dentistry in Miami Lakes, FL

Q: What is Main Street Children's Dentistry Of Miami Lakes, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since September 11, 2014

15501 NW 67TH AVE STE 201, MIAMI LAKES, FL 33014(786) 577-4968 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Main Street Children's Dentistry Of Miami Lakes, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES, PLLC (NPI 1043611858) is a healthcare organization registered as a pediatric dentistry in Miami Lakes, Florida and active in the NPI registry since September 2014. The organization lists Stephanie Gomez, Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1043611858

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES, PLLC

Location Address15501 NW 67TH AVE STE 201Miami Lakes, FL 33014-2108

Mailing Address15501 Nw 67th Ave Ste 201Miami Lakes, FL 33014-2108

Phone(786) 577-4968

Organization SubpartNo

Authorized OfficialStephanie GomezProvider Relations · (305) 274-2499

Enumeration DateSeptember 11, 2014

Last NPPES UpdateJune 23, 2015

✔ NPI 1043611858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

15501 NW 67TH AVE STE 201, Miami Lakes, FL 33014

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OSCAR VICENTE GARCIA DMD

Dentist (Pediatric Dentistry)

15501 NW 67TH AVE STE 201
MIAMI LAKES, FL 33014

Miami-Dade County (305) 823-8831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Children's Dentistry Of Miami Lakes, PLLC's NPI number?

The NPI number for Main Street Children's Dentistry Of Miami Lakes, PLLC is 1043611858. It was assigned to this organization in the NPPES registry on September 11, 2014.

Where is Main Street Children's Dentistry Of Miami Lakes, PLLC located?

Main Street Children's Dentistry Of Miami Lakes, PLLC is located at 15501 NW 67th Ave Ste 201, Miami Lakes, FL 33014. The listed phone number is (786) 577-4968.

What is Main Street Children's Dentistry Of Miami Lakes, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Main Street Children's Dentistry Of Miami Lakes, PLLC was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.