Main Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll
Orthodontics and Dentofacial Clinic
11649 Sr 70 East, Suite 109, Bradenton
Florida, 34202
941-209-1213 Maps & DirectionsMain Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll is a Orthodontics and Dentofacial Clinic in Bradenton, Florida. It is located at 11649 Sr 70 East, Suite 109, Bradenton, FL and its contact number is 941-209-1213. The authorized person for Main Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll is Stephanie Gomez
who is Credentialing Supervisor of the clinic and their contact number is 305-274-2499.
Main Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Main Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Main Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 11649 Sr 70 East, Suite 109, Bradenton,
Florida, 34202 |
| Phone: | 941-209-1213 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Stephanie Gomez |
| Position: | Credentialing Supervisor |
| Contact Number: | 305-274-2499 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Main Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll clinic are as mentioned below.
| NPI Number: | 1790273159 |
| NPI Enumeration Date: | 01 May, 2018 |
| NPI Last Update On: | 01 May, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Main Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Main Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll
6240 Lake Osprey Dr Dept 50226,
Lakewood Ranch, Florida |
| Zip: | 34240-8421 |
| Phone Number: | -- |
Patients can reach Main Street Childrens Dentistry And Orthodontics Of Lakewood Ranch Pll at
11649 Sr 70 East, Suite 109, Bradenton, Florida or can
call to book an appointment on 941-209-1213.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.