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Main Street Childrens Dentistry and Orthodontics Waterford Lakes Pllc

Pediatric Dentistry in Orlando, FL · enumerated 2018 · authorized official Stephanie Gomez, Credentialing Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881161297

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Registry record

Entity type Organization (Type 2)
Legal business name Main Street Childrens Dentistry and Orthodontics Waterford Lakes Pllc
Practice address 12150 Lake Underhill Rd, Orlando, FL, 32825
Enumeration date Oct 24, 2018
Last updated in NPPES Oct 24, 2018

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary
1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers Secondary

Authorized official

Name Stephanie Gomez
Title Credentialing Supervisor

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Main Street Childrens Dentistry and Orthodontics Waterford Lakes Pllc?
NPPES lists Stephanie Gomez (Credentialing Supervisor) as the authorized official for this organization.
What is the NPI number for Main Street Childrens Dentistry and Orthodontics Waterford Lakes Pllc?
The NPI for Main Street Childrens Dentistry and Orthodontics Waterford Lakes Pllc is 1881161297, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-24.