OrganizationActive
Main Street Children'S Dentistry and Orthodontics at London Square, PA
NPI 1174859896 · Pediatric Dentistry · Miami, FL
Provider details
- NPI number
- 1174859896
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephanie Gomez, Provider Relations Specialist(305) 274-2499
- License
- DN5380 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
13400 Sw 120th St
Ste 310
Miami, FL 33186-7440
Phone: (305) 255-9541
Street-level locationGet directions
Mailing address
13195 Sw 134th St Fl 2
Miami, FL 33186-4461
Other names (DBA / former)
- Doing business as
- Dental Associates of West Kendall
Registry dates
- Enumerated
- 2009-10-30
- Last updated
- 2014-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.