CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
NPI 1205401304
Dentist - Pediatric Dentistry in Trussville, AL

Active since May 21, 2021
4901 DEERFOOT PKWY STE 101, TRUSSVILLE, AL 35173(205) 655-1000 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, Jan 10, 2025, May 21, 2021 (3 updates tracked since 2021).

About Children And Teen Dental Group Of Alabama NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDREN AND TEEN DENTAL GROUP OF ALABAMA (NPI 1205401304), doing business as Trussville Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Trussville, Alabama and active in the NPI registry since May 2021. The organization lists Brian Smith, Coo, as its authorized official.

NPPES Registry Identity

NPI1205401304
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Location Address4901 DEERFOOT PKWY STE 101Trussville, AL 35173-2697
Mailing Address2300 Lakeview Pkwy Ste 250Alpharetta, GA 30009-3954 · (727) 784-2721
Organization SubpartYes
Authorized OfficialBrian SmithCoo · (770) 231-5348
Enumeration DateMay 21, 2021
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1205401304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
4901 DEERFOOT PKWY STE 101, Trussville, AL 35173

Other Names 2

Doing Business AsTrussville Pediatric Dentistry
Other NameAlabama Dental Sedation

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
4901 DEERFOOT PKWY STE 101
TRUSSVILLE, AL 35173

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Children And Teen Dental Group Of Alabama's NPI number?

The NPI number for Children And Teen Dental Group Of Alabama is 1205401304. It was assigned to this organization in the NPPES registry on May 21, 2021. The provider is doing business as Trussville Pediatric Dentistry. The provider is also known as Alabama Dental Sedation.

Where is Children And Teen Dental Group Of Alabama located?

Children And Teen Dental Group Of Alabama is located at 4901 Deerfoot Pkwy Ste 101, Trussville, AL 35173. The listed phone number is (205) 655-1000.

What is Children And Teen Dental Group Of Alabama's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Children And Teen Dental Group Of Alabama was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.