MAIN STREET ORTHODONTICS OF SOUTH BROWARD
NPI 1891807160
Dentist - Pediatric Dentistry in Cooper City, FL

Active since August 31, 2006
9900 STIRLING RD., SUITE 100, COOPER CITY, FL 33024(954) 432-8707 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Main Street Orthodontics Of South Broward NPPES

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

MAIN STREET ORTHODONTICS OF SOUTH BROWARD (NPI 1891807160) is a healthcare organization registered as a pediatric dentistry in Cooper City, Florida and active in the NPI registry since August 2006. The organization lists Stephanie Gomez, Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1891807160
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF SOUTH BROWARD, PA
Location Address9900 STIRLING RD., SUITE 100Cooper City, FL 33024
Mailing Address13195 Sw 134 St, 2nd FloorMiami, FL 33186 · (305) 274-2499
Organization SubpartNo
Authorized OfficialStephanie GomezProvider Relations · (305) 274-2499
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 21, 2014
NPI 1891807160 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.
9900 STIRLING RD., SUITE 100, Cooper City, FL 33024

Other Names 1

Doing Business AsMain Street Orthodontics Of South Broward

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 South Broward, PA's NPI number?

The NPI number for Main Street Children's Dentistry And Orthodontics Of South Broward, PA is 1891807160. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Main Street Orthodontics Of South Broward.

Where is Main Street Children's Dentistry And Orthodontics Of South Broward, PA located?

Main Street Children's Dentistry And Orthodontics Of South Broward, PA is located at 9900 Stirling Rd., Suite 100, Cooper City, FL 33024. The listed phone number is (954) 432-8707.

What is Main Street Children's Dentistry And Orthodontics Of South Broward, 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 South Broward, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Main Street Children's Dentistry And Orthodontics Of South Broward, 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 South Broward, PA was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.