MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CLERMONT, PLLC
NPI 1275982670
Dentist - Pediatric Dentistry in Clermont, FL

Q: What is Main Street Children's Dentistry And Orthodontics Of Clermont, PLLC's specialty?

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

Active since June 07, 2016

2410 E HIGHWAY 50, BLDG D, SUITE A, CLERMONT, FL 34711(305) 274-2499 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Main Street Children's Dentistry And Orthodontics Of Clermont, Pllc NPPES

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

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CLERMONT, PLLC (NPI 1275982670) is a healthcare organization registered as a pediatric dentistry in Clermont, Florida and active in the NPI registry since June 2016. The organization lists Stephanie Gomez, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1275982670

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CLERMONT, PLLC

Location Address2410 E HIGHWAY 50, BLDG D, SUITE AClermont, FL 34711

Mailing Address13195 Sw 134th StMiami, FL 33186-4461 · (305) 274-2499

Phone(305) 274-2499

Organization SubpartNo

Authorized OfficialStephanie GomezCredentialing Coordinator · (305) 274-2499

Enumeration DateJune 7, 2016

Last NPPES UpdateJune 24, 2016

✔ NPI 1275982670 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.

2410 E HIGHWAY 50, BLDG D, SUITE A, Clermont, FL 34711

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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

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 Clermont, PLLC's NPI number?

The NPI number for Main Street Children's Dentistry And Orthodontics Of Clermont, PLLC is 1275982670. It was assigned to this organization in the NPPES registry on June 7, 2016.

Where is Main Street Children's Dentistry And Orthodontics Of Clermont, PLLC located?

Main Street Children's Dentistry And Orthodontics Of Clermont, PLLC is located at 2410 E Highway 50, Bldg D, Suite A, Clermont, FL 34711. The listed phone number is (305) 274-2499.

What is Main Street Children's Dentistry And Orthodontics Of Clermont, 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 And Orthodontics Of Clermont, PLLC was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.