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

TaxonomyCodeLicense
Dentist 122300000XNone listed
General Practice Dentistry 1223G0001XNone listed
Pediatric Dentistry Primary 1223P0221XNone 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

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.