MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF ORANGE CITY, P.A.
NPI 1124393822
Dentist - Pediatric Dentistry in Orange City, FL

Q: What is Main Street Children's Dentistry And Orthodontics Of Orange City, P.A.'s specialty?

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

Active since March 13, 2012

2435 S VOLUSIA AVE STE D2, ORANGE CITY, FL 32763(386) 775-0833 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Main Street Children's Dentistry And Orthodontics Of Orange City, P.a. NPPES

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

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF ORANGE CITY, P.A. (NPI 1124393822) is a healthcare organization registered as a pediatric dentistry in Orange City, Florida and active in the NPI registry since March 2012. The organization lists Stephanie Gomez, Provider Relations Specialist, as its authorized official.

NPPES Registry Identity

NPI1124393822

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF ORANGE CITY, P.A.

Location Address2435 S VOLUSIA AVE STE D2Orange City, FL 32763-7643

Mailing Address13195 Sw 134th St Fl 2Miami, FL 33186-4461 · (305) 274-2499

Phone(386) 775-0833

Organization SubpartNo

Authorized OfficialStephanie GomezProvider Relations Specialist · (305) 274-2499

Enumeration DateMarch 13, 2012

Last NPPES UpdateMarch 26, 2015

✔ NPI 1124393822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedDentistTaxonomy 122300000X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

2435 S VOLUSIA AVE STE D2, Orange City, FL 32763

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 4

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

ADVANCED DENTAL CARE OF ORANGE CITY P.A.

Dentist

2435 S VOLUSIA AVE STE D2
ORANGE CITY, FL 32763

Volusia County (386) 775-3003

RODOLFO TEJADA DDS

Dentist (Pediatric Dentistry)

2435 S VOLUSIA AVE STE D2
ORANGE CITY, FL 32763

Volusia County (386) 878-4395

MELISSA COLON

Dentist (General Practice)

2435 S VOLUSIA AVE STE D2
ORANGE CITY, FL 32763

Volusia County (386) 775-3003

ALEJANDRA KATES DDS

Dentist (Pediatric Dentistry)

2435 S VOLUSIA AVE STE D2
ORANGE CITY, FL 32763

Volusia County (386) 878-4395

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 And Orthodontics Of Orange City, P.A.'s NPI number?

The NPI number for Main Street Children's Dentistry And Orthodontics Of Orange City, P.A. is 1124393822. It was assigned to this organization in the NPPES registry on March 13, 2012.

Where is Main Street Children's Dentistry And Orthodontics Of Orange City, P.A. located?

Main Street Children's Dentistry And Orthodontics Of Orange City, P.A. is located at 2435 S Volusia Ave Ste D2, Orange City, FL 32763. The listed phone number is (386) 775-0833.

What is Main Street Children's Dentistry And Orthodontics Of Orange City, P.A.'s specialty?

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

What insurance does Main Street Children's Dentistry And Orthodontics Of Orange City, P.A. accept?

Health plans from Ambetter Health and Ambetter of Alabama list Main Street Children's Dentistry And Orthodontics Of Orange City, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Main Street Children's Dentistry And Orthodontics Of Orange City, P.A. was last updated on March 26, 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.