Organization
CHILDREN AND TEEN ORTHO GROUP OF FLORIDA
Active
Organization
CHILDREN AND TEEN ORTHO GROUP OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SMITH (CEO)
(770) 231-5348
Entity
Organization
Contact information
Practice address
213 KINGSWAY RD, BRANDON, FL 33510-4637
(813) 685-0804
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(470) 207-3264
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
05/21/2026
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