Organization
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Active
Parent organization
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Other names
Anglin Pediatric & Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Authorized official
NICOLE CARIDE (CREDENTIALING MANAGER)
(727) 784-2721
Entity
Organization
Contact information
Practice address
3825 LORNA RD STE 206, HOOVER, AL 35244-3003
(205) 988-9800
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
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
11/15/2018
Last updated
01/21/2025
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