OrganizationActive
Children and Teen Dental Group
NPI 1952764797 · Pediatric Dentistry · Dacula, GA
Provider details
- NPI number
- 1952764797
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brian Smith, Ceo(770) 231-5348
Specialties & taxonomies
Dental Providers
Practice location
2119 Hamilton Creek Pkwy
Suite 200
Dacula, GA 30019-3293
Phone: (770) 744-4581
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Registry dates
- Enumerated
- 2016-03-30
- 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.