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Main Street Children's Dentistry and Orthodontics of Coral Springs, Pl

NPI 1073995395ActiveOrganization· Dentist, Pediatric Dentistry· Coral Springs, FL

Dentist, Pediatric Dentistry in Coral Springs, Florida, registered in NPPES in June 2015. The authorized official on file is Stephanie Gomez, Provider Relations.

Overview

NPI1073995395
StatusActive
Entity typeOrganization
NPI issuedJun 23, 2015
Last updated in NPPESJun 23, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Pediatric Dentistry Primary1223P0221X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other pediatric dentists in Coral Springs

All 27 pediatric dentists in Coral Springs · All pediatric dentists in Florida