OrganizationActive
Children and Teen Dental Group
NPI 1255139432 · General Practice Dentistry · Cornelia, GA
Provider details
- NPI number
- 1255139432
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Children and Teen Dental Group
- Organization subpart
- Yes
- Authorized official
- Brian Smith, President(470) 207-3264
Specialties & taxonomies
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Practice location
679 Baldwin Rd
Cornelia, GA 30531-5768
Phone: (706) 744-1832
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Other names (DBA / former)
- Doing business as
- Elite Dentistry of Georgia
- Doing business as
- Elite Dentistry of Georgia
Registry dates
- Enumerated
- 2025-03-04
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.