Organization · Type 2 NPI
Children and Teen Dental Group
Pediatric Dentistry · Eastman, GA
NPI number
1396563185
Active
Practice location
5106 Oak St
Eastman, GA 31023-6027
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| General Practice Dentistry | 1223G0001X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 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.
7 other providers at this address
- Chattahoochee Family OrthodonticsOrthodontics and Dentofacial Orthopedics Dentistry Eastman, GA NPI 1831997022
- Eastman Family Dental PCDental Clinic/Center Eastman, GA NPI 1992616486
- Caroline Moore Watts, DMDGeneral Practice Dentistry Eastman, GA NPI 1861953663
- Hung Xuan Ho, DMDGeneral Practice Dentistry Eastman, GA NPI 1245073972
- Jomari Jackson, DDSDentist Eastman, GA NPI 1902749849
- Michael A. Knight Sr., DDSGeneral Practice Dentistry Eastman, GA NPI 1598772436
- Michael Alan Knight Jr., DMDGeneral Practice Dentistry Eastman, GA NPI 1417443789
About NPI 1396563185
Children and Teen Dental Group's National Provider Identifier is 1396563185, issued on Sep 30, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Eastman, GA. The record was last updated on Jul 7, 2026.