Organization · Type 2 NPI
Children and Teen Dental Group of Alabama
Pediatric Dentistry · Trussville, AL
NPI number
1205401304
Active
Practice location
4901 Deerfoot Pkwy Ste 101
Trussville, AL 35173-2697
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Trussville
About NPI 1205401304
Children and Teen Dental Group of Alabama's National Provider Identifier is 1205401304, issued on May 21, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Trussville, AL. The record was last updated on May 20, 2026.