| Main Street Children's Dentistry And Orthodontics Of Clermont, Pllc | |
|
2410 E Highway 50, Bldg D, Suite A Clermont FL 34711 | |
| (305) 274-2499 | |
| Not Available |
| Full Name | Main Street Children's Dentistry And Orthodontics Of Clermont, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2410 E Highway 50, Bldg D, Suite A, Clermont, Florida |
| Authorized Official Name and Position | Stephanie Gomez (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Children's Dentistry And Orthodontics Of Clermont, Pllc 13195 Sw 134th St Miami FL 33186-4461 Ph: (305) 274-2499 | Main Street Children's Dentistry And Orthodontics Of Clermont, Pllc 2410 E Highway 50, Bldg D, Suite A Clermont FL 34711 Ph: (305) 274-2499 |
| NPI Number | 1275982670 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 06/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275982670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Leonard S Kaplan Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 E Hwy 50, Suite 100, Clermont, FL 34711 Phone: 352-742-0484 Fax: 352-742-0923 | |
Tomas J. Ballesteros D.m.d. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 W Desoto St, Clermont, FL 34711 Phone: 352-394-3071 Fax: 352-394-3079 | |
Advanced Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1471 Johns Lake Rd Ste 1, Clermont, FL 34711 Phone: 321-204-6471 Fax: 407-674-2539 | |
Citrus Ridge Dental Center, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 N Highway 27, Suite F, Clermont, FL 34711 Phone: 352-243-0018 Fax: 352-243-6700 | |
The Brace Place, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 East Ave, Clermont, FL 34711 Phone: 352-242-1818 Fax: 352-242-4835 | |
Smiles On Hampton Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Hampton St, Clermont, FL 34711 Phone: 352-394-3001 | |
Clermont Kids Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1655 E Hwy 50 Ste 101, Clermont, FL 34711 Phone: 407-446-6644 |