MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CAPE CORAL, P.A. (NPI# 1740557198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740557198 |
| Entity Type | Organization |
| Organization Name | MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CAPE CORAL, P.A. |
| Practice Address |
1715 Cape Coral Pkwy W Unit 13 Cape Coral FL 33914-6914 |
| Mailing Address |
13195 Sw 134th St Fl 2 Miami FL 33186-4461 |
| Practice Telephone | 2395423185 |
| Mailing Telephone | 3052742499 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2014-08-01 |
| Authorized Official Name | MS. STEPHANIE GOMEZ (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
1715 CAPE CORAL PKWY W UNIT 13 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33914-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215956479 | Physiotherapy Associates Inc | Clinic/Center | 1715 Cape Coral Pkwy W, Ste 21, Cape Coral, FL 33914-6914 | 2006-07-19 |
| 1235580309 | Kevin Reynolds | Physical Therapist | 1715 Cape Coral Pkwy W, Cape Coral, FL 33914-7029 | 2016-06-29 |
| 1043680069 | Melissa Best | Occupational Therapist | 1715 Cape Coral Pkwy W, Cape Coral, FL 33914-6914 | 2015-10-02 |
| 1649647041 | Alicia Harker | Physical Therapist | 1715 Cape Coral Pkwy W, Suite 21, Cape Coral, FL 33914-6914 | 2015-09-01 |
| 1245575497 | Deborah Ann Steffan | Physical Therapist | 1715 Cape Coral Pkwy W, Suite 7, Cape Coral, FL 33914-6914 | 2012-11-29 |
| 1174800163 | Sharon Goodwin | Dentist | 1715 Cape Coral Pkwy W, Suite #11, Cape Coral, FL 33914-6914 | 2011-11-04 |
| 1124300546 | Micah Owen Marazon | Physical Therapist | 1715 Cape Coral Pkwy W, Ste 13, Cape Coral, FL 33914-6914 | 2011-09-12 |
| 1992086656 | Johnny Alan Cortez Jr. | Physical Therapy Assistant | 1715 Cape Coral Pkwy W, Suite 13, Cape Coral, FL 33914-6914 | 2011-09-07 |
| 1497067094 | Andrea Lynn Boucher | Dentist | 1715 Cape Coral Pkwy W, Cape Coral, FL 33914-6914 | 2010-07-12 |
| 1093035727 | Dental Associates of Cape Coral Pa | Dentist | 1715 Cape Coral Pkwy W, Suite 11, Cape Coral, FL 33914-6914 | 2010-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
| 1316310303 | Alejandra Romero | Dentist | 1715 Cape Coral Parkway West.suite #13, Cape Coral, FL 33914 | 2015-11-12 |
| 1366826141 | Hannah M Dowling | Nurse Practitioner | 2441 Surfside Blvd., Cape Coral, FL 33914 | 2015-07-12 |
| 1003181389 | Yosmel O Carrasco | Massage Therapist | 3910 Santa Barbara Blvd 103, Cape Coral, FL 33914 | 2012-03-20 |
| 1326330507 | Taylor's Exceptional Nurse Practitioner Service, LLC | Nurse Practitioner | 841 Sw 47th Ter #106, Cape Coral, FL 33914 | 2011-05-06 |
| 1407010226 | Carmelita Buenviaje Almazan | Case Manager/Care Coordinator | 4334 Sw 9th Avenue, Cape Coral, FL 33914 | 2008-07-10 |
| 1447471503 | Daysi Perez | Massage Therapist | 4624 Sw 14 Ave, Cape Coral, FL 33914 | 2007-05-02 |
| 1801973466 | Russell Meredith Fidler | Dentist | 1616 W Cape Coral Parkway Unit #115, Cape Coral, FL 33914 | 2006-11-01 |
| 1134226814 | Elizabeth Elia | Dentist | 415 Cape Coral Parkway #w1, Cape Coral, FL 33914 | 2006-09-17 |
| 1225140718 | Dental Associates of Cape Coral, Pa | Dentist | 1715 Cape Coral Parkway West, Suite 11, Cape Coral, FL 33914 | 2006-08-31 |
| Find all providers in zip 33914 | ||||
| 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 |
|---|---|---|---|---|
| 1316310303 | Alejandra Romero | Dentist | 1715 Cape Coral Parkway West.suite #13, Cape Coral, FL 33914 | 2015-11-12 |
| 1154753424 | Pediatric Dentistry of Cape Coral | Dentist | 1508 Se 12th Ter, Cape Coral, FL 33990-3617 | 2013-08-08 |
| 1497067094 | Andrea Lynn Boucher | Dentist | 1715 Cape Coral Pkwy W, Cape Coral, FL 33914-6914 | 2010-07-12 |
| 1093035727 | Dental Associates of Cape Coral Pa | Dentist | 1715 Cape Coral Pkwy W, Suite 11, Cape Coral, FL 33914-6914 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
| 1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
| 1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
| 1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
| 1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33914 |
Please comment or provide details below to improve the information on MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF CAPE CORAL, P.A..
| 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.