MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES
NPI 1154653913
Dentist - Pediatric Dentistry in Miami Lakes, FL

Active since February 04, 2010
15600 NW 67TH AVE, SUITE 110, MIAMI LAKES, FL 33014(305) 823-8831(305) 823-8799 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Street Children's Dentistry Of Miami Lakes NPPES

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

MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES (NPI 1154653913) is a healthcare organization registered as a pediatric dentistry in Miami Lakes, Florida and active in the NPI registry since February 2010. The organization lists Melvyn Gober, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154653913
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMAIN STREET ORTHODONTICS OF MIAMI LAKES, P.A.
Location Address15600 NW 67TH AVE, SUITE 110Miami Lakes, FL 33014-2174
Mailing Address13195 Sw 134th St, 2nd FloorMiami, FL 33186-4461 · (305) 274-2499 · Fax (305) 274-9312
Fax(305) 823-8799
Organization SubpartNo
Authorized OfficialMelvyn GoberCeo · (305) 274-2499
Enumeration DateFebruary 4, 2010
Last NPPES UpdateJuly 10, 2012
NPI 1154653913 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.
15600 NW 67TH AVE, Miami Lakes, FL 33014

Other Names 1

Doing Business AsMain Street Children's Dentistry Of Miami Lakes

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 17

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

Clinic/Center
15600 NW 67TH AVE
MIAMI LAKES, FL 33014
Technician/Technologist (Optician)
15600 NW 67TH AVE, 210
MIAMI LAKES, FL 33014
Dentist
15600 NW 67TH AVE, # 106
MIAMI LAKES, FL 33014
Physical Therapy Assistant
15600 NW 67TH AVE, SUITE 306
MIAMI LAKES, FL 33014
Nurse Anesthetist, Certified Registered
15600 NW 67TH AVE
MIAMI LAKES, FL 33014
Physical Therapist
15600 NW 67TH AVE, SUITE 306
MIAMI LAKES, FL 33014
Dermatology
15600 NW 67TH AVE, SUITE 105
MIAMI LAKES, FL 33014
Orthopaedic Surgery
15600 NW 67TH AVE, SUITE 306
MIAMI LAKES, FL 33014

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 Orthodontics Of Miami Lakes, P.A.'s NPI number?

The NPI number for Main Street Orthodontics Of Miami Lakes, P.A. is 1154653913. It was assigned to this organization in the NPPES registry on February 4, 2010. The provider is doing business as Main Street Children's Dentistry Of Miami Lakes.

Where is Main Street Orthodontics Of Miami Lakes, P.A. located?

Main Street Orthodontics Of Miami Lakes, P.A. is located at 15600 NW 67th Ave Suite 110, Miami Lakes, FL 33014. The listed phone number is (305) 823-8831.

What is Main Street Orthodontics Of Miami Lakes, P.A.'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 Orthodontics Of Miami Lakes, P.A. was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.