Organization · Type 2 NPI

Main Street Children's Dentistry and Orthodontics at London Square, PA

Pediatric Dentistry · Miami, FL

NPI number 1174859896 Active

Practice location

13400 SW 120th St, Ste 310
Miami, FL 33186-7440

Call (305) 255-9541 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN5380 (FL)
General Practice Dentistry 1223G0001XNone listed
Pediatric Dentistry Primary 1223P0221XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XNone 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.

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About NPI 1174859896

Main Street Children's Dentistry and Orthodontics at London Square, PA's National Provider Identifier is 1174859896, issued on Oct 30, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Miami, FL. The record was last updated on Aug 4, 2014.