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MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC
NPI 1881161297
Dentist - Pediatric Dentistry in Orlando, FL

Active since October 24, 2018
12150 LAKE UNDERHILL RD, ORLANDO, FL 32825(321) 319-7027 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Street Childrens Dentistry And Orthodontics Waterford Lakes Pllc NPPES

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

MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC (NPI 1881161297) is a healthcare organization registered as a pediatric dentistry in Orlando, Florida and active in the NPI registry since October 2018. The organization lists Stephanie Gomez, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1881161297
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS WATERFORD LAKES PLLC
Location Address12150 LAKE UNDERHILL RDOrlando, FL 32825-5012
Mailing Address12150 Lake Underhill RdOrlando, FL 32825-5012
Phone(321) 319-7027
Organization SubpartNo
Authorized OfficialStephanie GomezCredentialing Supervisor · (305) 274-2499
Enumeration DateOctober 24, 2018
✔ NPI 1881161297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
12150 LAKE UNDERHILL RD, Orlando, FL 32825
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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 3

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

DR. LATOYA JONES DOUGLAS DMD
Dentist (Pediatric Dentistry)
12150 LAKE UNDERHILL RD
ORLANDO, FL 32825
Orange County (321) 204-6520
FARHANA GULAMALI
Dentist (Pediatric Dentistry)
12150 LAKE UNDERHILL RD
ORLANDO, FL 32825
Orange County (321) 214-7762
DR. ALBERTO NOGUERA DDS
Dentist (Pediatric Dentistry)
12150 LAKE UNDERHILL RD
ORLANDO, FL 32825
Orange County (321) 319-7027

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 Childrens Dentistry And Orthodontics Waterford Lakes PLLC's NPI number?

The NPI number for Main Street Childrens Dentistry And Orthodontics Waterford Lakes PLLC is 1881161297. It was assigned to this organization in the NPPES registry on October 24, 2018.

Where is Main Street Childrens Dentistry And Orthodontics Waterford Lakes PLLC located?

Main Street Childrens Dentistry And Orthodontics Waterford Lakes PLLC is located at 12150 Lake Underhill Rd, Orlando, FL 32825. The listed phone number is (321) 319-7027.

What is Main Street Childrens Dentistry And Orthodontics Waterford 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 Childrens Dentistry And Orthodontics Waterford Lakes PLLC was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.