OrganizationActive
Children and Teen Dental Group of Florida
NPI 1982072633 · Pediatric Dentistry · Lakeland, FL
Provider details
- NPI number
- 1982072633
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brian Smith, Cfo(770) 231-5348
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
12 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
225 Imperial Blvd
Lakeland, FL 33803-4612
Phone: (863) 644-4739
Street-level locationGet directions
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Additional practice locations (11)
- 3413 S Kings Ave Ste 200Brandon, FL 33511-7780Phone: (813) 685-0804
- 107 W Robertson StBrandon, FL 33511-5111Phone: (813) 440-3161
- 13063 Cortez BlvdBrooksville, FL 34613-4838Phone: (352) 666-1400
- 2015 E Edgewood DrLakeland, FL 33803-3601Phone: (863) 667-9000
- 3885 S Florida AveLakeland, FL 33813-1109Phone: (863) 644-4739
- 5245 US Highway 19New Port Richey, FL 34652-3967Phone: (727) 847-3113
- 2707 Tampa RdPalm Harbor, FL 34684-3312Phone: (727) 785-6521
- 31067 US Highway 19 NPalm Harbor, FL 34684-4416Phone: (727) 304-5483
- 8686 131st St Ste CSeminole, FL 33776-2700Phone: (727) 605-5775
Registry dates
- Enumerated
- 2015-09-11
- 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.