Main Street Children'S Dentistry and Orthodontics of Orange City, P.A.
NPI 1124393822 · Pediatric Dentistry · Orange City, FL
Main Street Children'S Dentistry and Orthodontics of Orange City, P.A. is a Pediatric Dentistry organization in Orange City, FL (NPI 1124393822).
Provider details
- NPI number
- 1124393822
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephanie Gomez, Provider Relations Specialist(305) 274-2499
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-03-13
- Last updated
- 2015-03-26
Frequently asked questions
- What is Main Street Children'S Dentistry and Orthodontics of Orange City, P.A.'s NPI number?
- Main Street Children'S Dentistry and Orthodontics of Orange City, P.A.'s National Provider Identifier (NPI) is 1124393822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 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 classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Main Street Children'S Dentistry and Orthodontics of Orange City, P.A. located?
- Main Street Children'S Dentistry and Orthodontics of Orange City, P.A.'s practice location on file with NPPES is 2435 S Volusia Ave Ste D2, Orange City, FL 32763-7643.
- What is Main Street Children'S Dentistry and Orthodontics of Orange City, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Main Street Children'S Dentistry and Orthodontics of Orange City, P.A. is (386) 775-0833.
- Who is the authorized official for Main Street Children'S Dentistry and Orthodontics of Orange City, P.A.?
- The authorized official listed on Main Street Children'S Dentistry and Orthodontics of Orange City, P.A.'s NPPES record is Stephanie Gomez, Provider Relations Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Children'S Dentistry and Orthodontics of Orange City, P.A.'s NPI active?
- Yes — Main Street Children'S Dentistry and Orthodontics of Orange City, P.A.'s NPI (1124393822) is active in the NPPES registry as of the last update on 2015-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.