Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll
NPI 1790273159 · Orthodontics and Dentofacial Orthopedics Dentistry · Bradenton, FL
Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Bradenton, FL (NPI 1790273159).
Provider details
- NPI number
- 1790273159
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephanie Gomez, Credentialing Supervisor(305) 274-2499
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-05-01
- Last updated
- 2018-05-01
Frequently asked questions
- What is Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll's NPI number?
- Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll's National Provider Identifier (NPI) is 1790273159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll?
- Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll located?
- Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll's practice location on file with NPPES is 11649 Sr 70 East, Suite 109, Bradenton, FL 34202.
- What is Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll's phone number?
- The practice phone number listed in the NPPES registry for Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll is (941) 209-1213.
- Who is the authorized official for Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll?
- The authorized official listed on Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll's NPPES record is Stephanie Gomez, Credentialing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll's NPI active?
- Yes — Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll's NPI (1790273159) is active in the NPPES registry as of the last update on 2018-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.