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
BRIAN SMITH (CEO)
(770) 231-5348
Entity
Organization
Contact information
Practice address
31067 US HIGHWAY 19 N, PALM HARBOR, FL 34684-4416
(727) 304-5483
(727) 260-4098
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(470) 207-3264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/09/2021
Last updated
01/21/2025
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