Children and Teen Dental Group

NPI #1215755004 in Fitzgerald, Georgia

Provider Information

NPI Number: 1215755004
Entity Type: Organization
Organization Name: Children and Teen Dental Group
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDREN AND TEEN DENTAL GROUP
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Sep 30, 2024
Last Updated: Sep 30, 2024

Practice Location

Address: 320 BENJAMIN H HILL DR SW
City: Fitzgerald
State: Georgia
ZIP Code: 31750-8694
Phone: (229) 423-9471

Authorized Official

Name: NICOLE D CARIDE
Title: CREDENTIALING MANAGER
Phone: (727) 226-0186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Paul Lyle Glasser, DDS	Dentist - Pediatric Dentistry	Decatur	AI Deep Dive
DR. Derek Deshan Mason, DDS	Dentist - Pediatric Dentistry	Hiram	AI Deep Dive
DR. Horace Byron Colley III, D.M.D.	Dentist - Pediatric Dentistry	Savannah	AI Deep Dive
DR. Alston J. Mccaslin VI, D.M.D.	Dentist - Pediatric Dentistry	Savannah	AI Deep Dive

Organizations

Provider Name	Specialty	City
Dentistry for Children	Dentist - Pediatric Dentistry	Jonesboro	AI Deep Dive

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