Organization · Type 2 NPI
Main Street Children's Dentistry and Orthodontics of Orange City, P.a.
Pediatric Dentistry · Orange City, FL
NPI number
1124393822
Active
Practice location
2435 S Volusia Ave Ste D2
Orange City, FL 32763-7643
Mailing address
13195 SW 134th St Fl 2
Miami, FL 33186-4461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | None listed |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | None listed |
Pediatric Dentistry: 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.
4 other providers at this address
About NPI 1124393822
Main Street Children's Dentistry and Orthodontics of Orange City, P.a.'s National Provider Identifier is 1124393822, issued on Mar 13, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Orange City, FL. The record was last updated on Mar 26, 2015.