Main Street Children'S Dentistry And Orthodontics Of Orange City, P.A.

LBN: Main Street Children'S Dentistry And Orthodontics Of Orange City, P.A.
Main Street Children'S Dentistry And Orthodontics Of Orange City, P.A. is an health care organization with primary practice located at 2435 S Volusia Ave Ste D2 , Orange City FL 32763-7643. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Main Street Children'S Dentistry And Orthodontics Of Orange City, P.A. can be contacted via phone (386) 775-0833, or through Gomez, Stephanie via phone (305) 274-2499.

Contact Information

Primary practice address
2435 S Volusia Ave Ste D2 Orange City FL 32763-7643
Phone: (386) 775-0833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Stephanie
Phone: (305) 274-2499

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1124393822
LBN Legal business name Main Street Children'S Dentistry And Orthodontics Of Orange City, P.A.
DBA Doing business as
Authorized official Gomez, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2012
Last updated Mar 26th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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