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THE MAIN STREET DENTISTS, PLLC
NPI 1972174720
Clinic/Center - Dental in Leesburg, FL

Active since July 02, 2021
606 W MAGNOLIA ST, LEESBURG, FL 34748(352) 787-4800 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 12, 2021, Jul 6, 2021, Jul 2, 2021 (3 updates tracked since 2021).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About THE MAIN STREET DENTISTS, PLLC

This page provides the complete NPI Profile along with additional information for The Main Street Dentists, Pllc, a provider established in Leesburg, Florida operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1972174720 assigned on July 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as The Main Street Dentists, Pllc. The authorized official of this NPI record is Dr. Stephen W George Dmd (Manager)

NPI
1972174720 Verify this NPI
Provider Legal Name
STEPHEN GEORGE DMD PLLC
Other Organization Name
THE MAIN STREET DENTISTS, PLLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
606 W MAGNOLIA ST LEESBURG, FL 34748
Location Phone
(352) 787-4800
Mailing Address
606 W MAGNOLIA ST LEESBURG, FL 34748
Mailing Phone
(352) 787-4800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2021
Last Update Date
07-12-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEPHEN W GEORGE DMD

Authorized Official Title
MANAGER
Authorized Official Phone
(352) 787-4800

Reviews for THE MAIN STREET DENTISTS, PLLC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

DR. JON D MEHR DDS
Dentist
606 W MAGNOLIA ST
LEESBURG, FL 34748
Lake County (352) 787-4800
DR. MARTHA MEHR DDS
Dentist
606 W MAGNOLIA ST
LEESBURG, FL 34748
Lake County (352) 787-4800
STEPHEN W GEORGE DMD
Dentist (General Practice)
606 W MAGNOLIA ST
LEESBURG, FL 34748
Lake County (352) 787-4800

Frequently Asked Questions

What is STEPHEN GEORGE DMD PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1972174720, enumerated as an "organization" on July 02, 2021.

Where is the provider located?

The provider is located at 606 W MAGNOLIA ST LEESBURG, FL 34748 and the phone number is (352) 787-4800.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.