MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF FT. MYERS, P.A.
NPI 1962794602
Dentist - Pediatric Dentistry in Fort Myers, FL

Active since May 13, 2011
13195 METRO PKWY, FORT MYERS, FL 33966(239) 768-2485 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Main Street Children's Dentistry And Orthodontics Of Ft. Myers, P.a. NPPES

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

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF FT. MYERS, P.A. (NPI 1962794602) is a healthcare organization registered as a pediatric dentistry in Fort Myers, Florida and active in the NPI registry since May 2011. The organization lists Stephanie Gomez, Provider Relations Specialist, as its authorized official.

NPPES Registry Identity

NPI1962794602
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF FT. MYERS, P.A.
Location Address13195 METRO PKWYFort Myers, FL 33966-4810
Mailing Address13195 Sw 134th St Fl 2Miami, FL 33186-4461 · (305) 274-2499 · Fax (305) 274-9312
Organization SubpartNo
Authorized OfficialStephanie GomezProvider Relations Specialist · (305) 274-2499
Enumeration DateMay 13, 2011
Last NPPES UpdateAugust 1, 2014
NPI 1962794602 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
13195 METRO PKWY, Fort Myers, FL 33966

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

Other Providers at the Same Location NPPES 6

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

Obstetrics & Gynecology
13195 METRO PKWY, #6-9
FORT MYERS, FL 33966
Advanced Practice Midwife
13195 METRO PKWY, STE 6-9
FORT MYERS, FL 33966
Obstetrics & Gynecology
13195 METRO PKWY, STE 6-9
FORT MYERS, FL 33966
Midwife
13195 METRO PKWY, #6-9
FORT MYERS, FL 33966
Advanced Practice Midwife
13195 METRO PKWY, SUITES 6-9
FORT MYERS, FL 33966
Advanced Practice Midwife
13195 METRO PKWY, UNIT 6-9
FORT MYERS, FL 33966

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 Ft. Myers, P.A.'s NPI number?

The NPI number for Main Street Children's Dentistry And Orthodontics Of Ft. Myers, P.A. is 1962794602. It was assigned to this organization in the NPPES registry on May 13, 2011.

Where is Main Street Children's Dentistry And Orthodontics Of Ft. Myers, P.A. located?

Main Street Children's Dentistry And Orthodontics Of Ft. Myers, P.A. is located at 13195 Metro Pkwy, Fort Myers, FL 33966. The listed phone number is (239) 768-2485.

What is Main Street Children's Dentistry And Orthodontics Of Ft. Myers, P.A.'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 Ft. Myers, P.A. accept?

Health plans from Ambetter Health and Ambetter of Alabama list Main Street Children's Dentistry And Orthodontics Of Ft. Myers, P.A. 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 Ft. Myers, P.A. was last updated on August 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.