Children and Teen Dental Group
NPI #1568280519 in Lagrange, Georgia
Provider Information
- NPI Number
- 1568280519
- 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
Authorized Official
- Name
- NICOLE CARIDE
- Title
- CREDENTIALING MANAGER
- Phone
- (727) 784-2721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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