Organization · Type 2 NPI

Children and Teen Dental Group of Florida

General Practice Dentistry · Brandon, FL

NPI number 1750056859 Active

Practice location

3413 S Kings Ave Ste 200
Brandon, FL 33511-7780

Call (813) 685-0804 Map

Fax (813) 681-7213

Mailing address

2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed
Pediatric Dentistry	1223P0221X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

Other general practice dentistry providers in Brandon

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NPI record

NPI: 1750056859
Entity type: Organization (Type 2)
Issued: Aug 11, 2021
Last updated: Sep 9, 2026
Status: Active
Subpart: Yes of Children and Teen Dental Group of Florida

Other names

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Pediatric Dentistry of Brandon · doing business as

Authorized official

Brian Smith
President
(470) 207-3264

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750056859

Children and Teen Dental Group of Florida's National Provider Identifier is 1750056859, issued on Aug 11, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Brandon, FL. The record was last updated on Sep 9, 2026.