Organization · Type 2 NPI

Main Street Children's Dentistry and Orthodontics of Homestead, P.a.

Orthodontics and Dentofacial Orthopedics Dentistry · Homestead, FL

NPI number 1124310867 Active

Practice location

925 NE 30th Ter Ste 110
Homestead, FL 33033-7614

Fax (305) 274-9312

Mailing address

13195 SW 134th St Fl 2
Miami, FL 33186-4461

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Pediatric Dentistry 1223P0221XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1124310867

Main Street Children's Dentistry and Orthodontics of Homestead, P.a.'s National Provider Identifier is 1124310867, issued on May 13, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Homestead, FL. The record was last updated on Aug 1, 2014.