Main Street Children's Dentistry and Orthodontics of Plantation PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION PA

Practice address

7115 W Broward Blvd # 155
Plantation, FL 33317-2210

Phone

(954) 474-8849

NPI assigned

Jul 22, 2014

Last updated

Jul 21, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria Johnson

Title

Cro

Phone

(941) 444-0558

Specialties & licenses 1

Addresses

Tax ID family

Main Street Children's Dentistry and Orthodontics of Plantation PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Main Street Children's Dentistry and Orthodontics of Plantation, PA

  dba Main Street Children's Dentistry of Plantation

  • Pediatric Dentistry
  • Plantation, FL
  • NPI 1770695033
  NPD tax ID
• Main Street Children's Dentistry and Orthodontics of Plantation, PA

  dba Main Street Orthodonitcs of Plantation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plantation, FL
  • NPI 1992809511
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1437566494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 W BROWARD BLVD # 155",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 W BROWARD BLVD # 155",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172210",
            "telephone_number": "954-474-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF PLANTATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0558"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahogany Health Center Inc
• Deborah Mahr, LMHC
• Reshma L Mahtani, D.O.
• Matilda Francisca Maicas Jarocki, APRN
• Barbara Capp Maier, MS LMHC
• Main Street Children's Dentistry and Orthodontics of Plantation, PA (Main Street Children's Dentistry of Plantation)
• Main Street Children's Dentistry and Orthodontics of Plantation, PA (Main Street Orthodonitcs of Plantation)
• Tatiana Margarita Mais
• Malcolm Marvin Major, MD
• Sarabjot Singh Makkar, MD, MS

• Dentist in Plantation, FL
• Providers in Plantation, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.