Main Street Children'S Dentistry & Orthodontics of Naples, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN 5380 Issued in FL

Legal business name

MAIN STREET CHILDREN'S DENTISTRY & ORTHODONTICS OF NAPLES, PA

Practice address

6726 Lone Oak Blvd
Naples, FL 34109

Phone

(239) 254-0085

Fax

(239) 254-0059

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Stephanie Gomez

Title

Provider Relations

Phone

(305) 274-2499

Specialties & licenses 1

Addresses

Other names 1

• Main Street Children's Dentistry of Naples Doing business as

Locations

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1760619860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 SW 134 ST",
            "address_2": "2ND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-274-2499",
            "fax_number": "239-254-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 LONE OAK BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-254-0085",
            "fax_number": "239-254-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHILDREN'S DENTISTRY & ORTHODONTICS OF NAPLES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 5380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Children's Dentistry of Naples",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carly Maher, PA-C
• Mariah Victoria Mahone
• Tam Thanh Mai, M.D.
• Yara Rafeela Maia, M.D.
• Briana Helene Maierle, PA-C
• Richard Mair, D.C.
• Maison Healthcare
• Yenhey Maiza Arteaga
• Kathy Majcina, MD
• Allan N Major Jr., AU.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.