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Organization
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Active
Organization
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SMITH (CFO)
(770) 231-5348
Entity
Organization
Contact information
Practice address
323 FIELDSTOWN RD STE 101, GARDENDALE, AL 35071-2531
(205) 631-4572
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(470) 207-3264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
05/20/2026
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