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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CHILDREN AND TEEN DENTAL GROUP
NPI 1285330035
Dentist - Pediatric Dentistry in Acworth, GA

Active since February 03, 2023
2155 CEDARCREST RD, ACWORTH, GA 30101(770) 439-9119 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2026, May 21, 2026, Feb 3, 2023 (3 updates tracked since 2023).

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 1285330035) is a healthcare organization registered as a pediatric dentistry in Acworth, Georgia and active in the NPI registry since February 2023. The organization lists Brian Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285330035
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN AND TEEN DENTAL GROUP
Location Address2155 CEDARCREST RDAcworth, GA 30101-6274
Mailing Address2300 Lakeview Pkwy Ste 250Alpharetta, GA 30009-3954 · (470) 750-4866
Phone(770) 439-9119
Organization SubpartNo
Authorized OfficialBrian SmithCeo · (470) 750-4866
Enumeration DateFebruary 3, 2023
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1285330035 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 · General PracticeTaxonomy 1223G0001X
2155 CEDARCREST RD, Acworth, GA 30101
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE 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.

ODP OF NORTHWEST GEORGIA PC
Dentist (Pediatric Dentistry)
2155 CEDARCREST RD
ACWORTH, GA 30101
Cobb County (770) 439-9119

Frequently Asked Questions

What is CHILDREN AND TEEN DENTAL GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1285330035, enumerated as an "organization" on February 03, 2023.

Where is the provider located?

The provider is located at 2155 CEDARCREST RD ACWORTH, GA 30101 and the phone number is (770) 439-9119.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.