OrganizationActive
Children and Teen Dental Group
NPI 1972991248 · Pediatric Dentistry · Cumming, GA
Provider details
- NPI number
- 1972991248
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brian Smith, President(470) 207-3264
- License
- 011988 (GA)
Specialties & taxonomies
Dental Providers
Practice location
285 Elm St
Cumming, GA 30040-8233
Phone: (770) 744-4581
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Registry dates
- Enumerated
- 2015-01-08
- 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.