Main Street Children's Dentistry of Jupiter, PA
NPI 1487766838ActiveOrganization· Dentist, Pediatric Dentistry· Jupiter, FL
Dentist, Pediatric Dentistry in Jupiter, Florida, registered in NPPES in August 2006. The authorized official on file is Stephanie Gomez, Provider Relations.
Overview
| NPI | 1487766838 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Aug 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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