CHILDREN AND TEEN DENTAL GROUP
NPI 1396563185
Dentist - Pediatric Dentistry in Eastman, GA
NPI Status: Active since September 30, 2024
Contact Information
5106 OAK ST
EASTMAN, GA
ZIP 31023
Phone: (478) 268-4959
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Dentist
- Pediatric Dentistry
About CHILDREN AND TEEN DENTAL GROUP
This page provides the complete NPI Profile along with additional information for Children And Teen Dental Group, a provider established in Eastman, Georgia operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1396563185 assigned on September 2024. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated May 2026. Children And Teen Dental Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brian Smith (Ceo)
- NPI
- 1396563185
- Provider Name
- CHILDREN AND TEEN DENTAL GROUP
- Entity Type
- Organization
- Location Address
- 5106 OAK ST EASTMAN, GA 31023
- Location Phone
- (478) 268-4959
- Mailing Address
- 2300 LAKEVIEW PKWY STE 250 ALPHARETTA, GA 30009
- Mailing Phone
- (470) 207-3264
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-30-2024
- Last Update Date
- 05-20-2026
- Code Navigator
A dentist like Children And Teen Dental Group is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | |
| 2 | 1223G0001X | Dental Providers | Dentist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396563185, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
EASTMAN, GA 31023
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396563185, enumerated as an "organization" on September 30, 2024.
The provider is located at 5106 OAK ST EASTMAN, GA 31023 and the phone number is (478) 268-4959.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.