MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WINTER PARK, PA
NPI 1306138045
Dentist - Pediatric Dentistry in Winter Park, FL

Q: What is Main Street Children's Dentistry And Orthodontics Of Winter Park, PA's specialty?

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

Active since May 13, 2011

501 N ORLANDO AVE STE 233, WINTER PARK, FL 32789(407) 622-1000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 18, 2017 (2 updates tracked since 2017).

On this page

About Main Street Children's Dentistry And Orthodontics Of Winter Park, Pa NPPES

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

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WINTER PARK, PA (NPI 1306138045) is a healthcare organization registered as a pediatric dentistry in Winter Park, Florida and active in the NPI registry since May 2011. The organization lists Stephanie Gomez, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1306138045

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF WINTER PARK, PA

Location Address501 N ORLANDO AVE STE 233Winter Park, FL 32789-2947

Mailing Address13195 Sw 134th St Fl 2Miami, FL 33186-4461 · (305) 274-2499 · Fax (305) 274-9312

Phone(407) 622-1000

Organization SubpartNo

Authorized OfficialStephanie GomezCredentialing Supervisor · (305) 274-2499

Enumeration DateMay 13, 2011

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1306138045 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 · License DN5380 (FL)

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

501 N ORLANDO AVE STE 233, Winter Park, FL 32789

Open in Google Maps ↗

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 2

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

DR. JOHN TAWADROUS DMD

Dentist (Pediatric Dentistry)

501 N ORLANDO AVE STE 233
WINTER PARK, FL 32789

Orange County (407) 792-0637

JULIANA ANDREA IRAL PINEDA DMD

Dentist (Pediatric Dentistry)

501 N ORLANDO AVE STE 233
WINTER PARK, FL 32789

Orange County (407) 622-1000

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 Winter Park, PA's NPI number?

The NPI number for Main Street Children's Dentistry And Orthodontics Of Winter Park, PA is 1306138045. It was assigned to this organization in the NPPES registry on May 13, 2011.

Where is Main Street Children's Dentistry And Orthodontics Of Winter Park, PA located?

Main Street Children's Dentistry And Orthodontics Of Winter Park, PA is located at 501 N Orlando Ave Ste 233, Winter Park, FL 32789. The listed phone number is (407) 622-1000.

What is Main Street Children's Dentistry And Orthodontics Of Winter Park, PA'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 Winter Park, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Main Street Children's Dentistry And Orthodontics Of Winter Park, PA 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 Winter Park, PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.