1. Home
  2. Directory
  3. Georgia
  4. Fitzgerald
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHILDREN AND TEEN DENTAL GROUP
NPI 1215755004
Dentist - Pediatric Dentistry in Fitzgerald, GA

Active since September 30, 2024
320 BENJAMIN H HILL DR SW, FITZGERALD, GA 31750(229) 423-9471 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Jul 7, 2026, May 21, 2026 and 1 more (4 updates tracked since 2024).

About Children And Teen Dental Group NPPES

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

CHILDREN AND TEEN DENTAL GROUP (NPI 1215755004) is a healthcare organization registered as a pediatric dentistry in Fitzgerald, Georgia and active in the NPI registry since September 2024. The organization lists Jennifer Jordan Rogers, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1215755004
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN AND TEEN DENTAL GROUP
Location Address320 BENJAMIN H HILL DR SWFitzgerald, GA 31750-8694
Mailing Address2300 Lakeview Pkwy Ste 250Alpharetta, GA 30009-3954 · (470) 750-4866
Phone(229) 423-9471
Organization SubpartYes
Authorized OfficialJennifer Jordan RogersCredentialing Specialist · (470) 801-4637
Enumeration DateSeptember 30, 2024
Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1215755004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedDentistTaxonomy 122300000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
320 BENJAMIN H HILL DR SW, Fitzgerald, GA 31750
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. KENNETH ANDREW GILBERT D.D.S.
Dentist (General Practice)
320 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 423-9471
GEORGIA DENTAL ASSOCIATES, LLC
Clinic/Center (Dental)
320 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 423-7974
ANDREA VITA
Dentist
320 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 423-9471
DR. ANDREW JAMES VITA DMD
Dentist (General Practice)
320 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 423-9471
MISS BAHAR JALALIAN
Dentist (General Practice)
320 BENJAMIN H HILL DR SW
FITZGERALD, GA 31750
Ben Hill County (229) 423-9471

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's NPI number?

The NPI number for Children And Teen Dental Group is 1215755004. It was assigned to this organization in the NPPES registry on September 30, 2024.

Where is Children And Teen Dental Group located?

Children And Teen Dental Group is located at 320 Benjamin H Hill Dr SW, Fitzgerald, GA 31750. The listed phone number is (229) 423-9471.

What is Children And Teen Dental Group'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 was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.