OrganizationActive
Children and Teen Dental Group
NPI 1215755004 · Pediatric Dentistry · Fitzgerald, GA
Provider details
- NPI number
- 1215755004
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Children and Teen Dental Group
- Organization subpart
- Yes
- Authorized official
- Brian Smith, Ceo(470) 207-3264
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
320 Benjamin H Hill Dr Sw
Fitzgerald, GA 31750-8694
Phone: (229) 423-9471
Street-level locationGet directions
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Other names (DBA / former)
- Doing business as
- American Dental of Fitzgerald
Registry dates
- Enumerated
- 2024-09-30
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.