Organization · Type 2 NPI
Children and Teen Dental Group
Pediatric Dentistry · Lagrange, GA
NPI number
1568280519
Active
Practice location
313 Mooty Bridge Rd Ste 202
Lagrange, GA 30240-1809
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.
3 other providers at this address
Other pediatric dentistry providers in Lagrange
About NPI 1568280519
Children and Teen Dental Group's National Provider Identifier is 1568280519, issued on Sep 30, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lagrange, GA. The record was last updated on Jul 7, 2026.