OrganizationActive
Children and Teen Dental Group
NPI 1568280519 · Pediatric Dentistry · Lagrange, GA
Provider details
- NPI number
- 1568280519
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Children and Teen Dental Group
- Authorized official
- Brian Smith, Ceo
Practice location
313 Mooty Bridge Rd Ste 202
Lagrange, GA 30240-1809
Phone: (706) 837-0123
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Registry dates
- Enumerated
- 2024-09-30
- Last updated
- 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.