OrganizationActive
Children and Teen Dental Group
NPI 1396563185 · Pediatric Dentistry · Eastman, GA
Provider details
- NPI number
- 1396563185
- 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
Practice location
5106 Oak St
Eastman, GA 31023-6027
Phone: (478) 268-4959
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Other names (DBA / former)
- Doing business as
- American Dental of Eastman
Registry dates
- Enumerated
- 2024-09-30
- 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.