MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CORAL SPRINGS, PL (NPI# 1073995395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073995395 |
| Entity Type | Organization |
| Organization Name | MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CORAL SPRINGS, PL |
| Practice Address |
7663 W Sample Rd Coral Springs FL 33065-4718 |
| Practice Telephone | 3052742499 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |
| Authorized Official Name | STEPHANIE GOMEZ (PROVIDER RELATIONS) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
7663 W SAMPLE RD |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932487725 | Aline Morin | Dentist | 7663 W Sample Rd, Coral Springs, FL 33065-4718 | 2011-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1245872068 | Grace Diana Perez | Developmental Therapist | 3325 N University Drive, Coral Springs, FL 33065 | 2019-10-14 |
| 1497397210 | Anjulia Maureen Nicholson | Speech-Language Pathologist | 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 | 2019-10-14 |
| 1467911131 | Sawgrass Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12415 Nw 35 Street, Coral Springs, FL 33065 | 2019-03-13 |
| 1992274252 | Kayon Shepherd | Dermatology | 7837 West Sample Rd, #127, Coral Springs, FL 33065 | 2018-11-15 |
| 1073009148 | Empire Detox, LLC | Clinic/Center | 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 | 2018-07-02 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1477051498 | Neuro Wellness Centers of America, LLC | Clinic/Center | 9734 W Sample Rd, Coral Springs, FL 33065 | 2018-01-24 |
| 1821502550 | Happy Adult Day Care Rehab, LLC | Clinic/Center | 7463 W Sample Rd, Coral Springs, FL 33065 | 2017-11-16 |
| 1821500059 | I'd Rather Be Home Homecare Services LLC | Registered Nurse | 7501 Nw 42nd Drive, Coral Springs, FL 33065 | 2017-10-27 |
| Find all providers in zip 33065 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902216153 | James Bennett Jr. | Dentist | 10188 Nw 31st St, Coral Springs, FL 33065-3913 | 2014-04-28 |
| 1932487725 | Aline Morin | Dentist | 7663 W Sample Rd, Coral Springs, FL 33065-4718 | 2011-07-27 |
| 1023304391 | Aurelio Antonio Bula | Dentist | 5850 Coral Ridge Dr Ste 101b, Coral Springs, FL 33076 | 2011-06-24 |
| 1235279050 | Frederic G Kirsch | Dentist | 1881 N University Dr Ste 201, Coral Springs, FL 33071-6095 | 2007-02-08 |
| 1073680161 | South Florida Dentistry for Children, P.a. | Dentist | 10188 Nw 31st Street, Coral Springs, FL 33065 | 2006-11-30 |
| 1235218686 | Maria Portilla | Dentist | 8150 Royal Palm Blvd Ste 104, Coral Springs, FL 33065-5704 | 2006-11-06 |
| 1790708865 | Enrique Acosta | Dentist | 8351 W Atlantic Blvd, Coral Springs, FL 33071-7454 | 2006-07-26 |
| 1720009848 | John S Bazos,d.m.d.,p.a. | Dentist | 9156 Wiles Rd, Coral Springs, FL 33067-1999 | 2006-07-22 |
| 1962010652 | Cl Dds 2 Pa | Dentist | 9156 Wiles Rd, Coral Springs, FL 33067-1999 | 2020-07-19 |
| 1134784267 | Mighty Children's Dentistry | Dentist | 5850 Coral Ridge Dr Ste 101b, Coral Springs, FL 33076-3379 | 2019-05-03 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
Please comment or provide details below to improve the information on MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CORAL SPRINGS, PL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.