Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A.
NPI 1962794602 · Pediatric Dentistry · Fort Myers, FL
Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A. is a Pediatric Dentistry organization in Fort Myers, FL (NPI 1962794602).
Provider details
- NPI number
- 1962794602
- 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
Dental Providers
- Dentist122300000X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-05-13
- Last updated
- 2014-08-01
Frequently asked questions
- What is Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A.'s NPI number?
- Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A.'s National Provider Identifier (NPI) is 1962794602, 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 Ft. Myers, P.A.?
- Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A. located?
- Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A.'s practice location on file with NPPES is 13195 Metro Pkwy, Fort Myers, FL 33966-4810.
- What is Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A. is (239) 768-2485.
- Who is the authorized official for Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A.?
- The authorized official listed on Main Street Children'S Dentistry and Orthodontics of Ft. Myers, 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 Ft. Myers, P.A.'s NPI active?
- Yes — Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.A.'s NPI (1962794602) is active in the NPPES registry as of the last update on 2014-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.