Organization
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Active
Parent organization
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Other names
Trussville Pediatric Dentistry, Alabama Dental Sedation
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Authorized official
BRIAN SMITH (COO)
(770) 231-5348
Entity
Organization
Contact information
Practice address
4901 DEERFOOT PKWY STE 101, TRUSSVILLE, AL 35173-2697
(205) 655-1000
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(727) 784-2721
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/21/2021
Last updated
01/21/2025
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