Organization · Type 2 NPI

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

Pediatric Dentistry · Fort Myers, FL

NPI number 1962794602 Active

Practice location

13195 Metro Pkwy
Fort Myers, FL 33966-4810

Call (239) 768-2485 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone 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.

6 other providers at this address

Other pediatric dentistry providers in Fort Myers

See all in Fort Myers →

About NPI 1962794602

Main Street Children's Dentistry and Orthodontics of Ft. Myers, P.a.'s National Provider Identifier is 1962794602, issued on May 13, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Myers, FL. The record was last updated on Aug 1, 2014.