Organization
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA
Active
Parent organization
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA
Other names
Harp Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA
Authorized official
NICOLE CARIDE (CREDENTIALING)
(727) 784-2721
Entity
Organization
Contact information
Practice address
2015 E EDGEWOOD DR, LAKELAND, FL 33803-3601
(863) 667-6900
(866) 963-6483
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(770) 744-4522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
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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