Main Street Children'S Dentistry and Orthodontics of London Square, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF LONDON SQUARE, PA

Doing business as

Dental Associates of West Kendall

Practice address

13400 SW 134TH Ave
Suite 310
Miami, FL 33186-4523

Phone

(305) 255-3986

Fax

(305) 255-9541

NPI assigned

Jan 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Melvyn Gober, DDS

Title

Ceo

Phone

(305) 274-2499

Specialties & licenses 1

Addresses

Other names 1

• Dental Associates of West Kendall Doing business as

Tax ID family

Dental Associates of West Kendall2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Main Street Children'S Dentistry and Orthodontics at London Square, PA

  • Pediatric Dentistry
  • Miami, FL
  • NPI 1174859896
  NPD tax ID

Locations

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1467782839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 SW 134TH ST FL 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864461",
            "telephone_number": "305-274-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 SW 134TH AVE",
            "address_2": "SUITE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864523",
            "telephone_number": "305-255-3986",
            "fax_number": "305-255-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF LONDON SQUARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-274-2499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Associates of West Kendall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mail Order Meds of Florida, LLC
• Jenna Ann Mailhes, MD
• Raymond Bernard Mailhot, M.D., MPH
• Main Research Center LLC
• Main Street Children'S Dentistry and Orthodontics at London Square, PA
• Main Street Orthodontics of Kendall, PA
• Main Therapy Center
• Yunior Mainegra
• Hardik Maini, PHARMD
• Maiquez Investments Inc

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.