1. Home
  2. Directory
  3. Georgia
  4. Lagrange
  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 1568280519
Dentist - Pediatric Dentistry in Lagrange, GA

Active since September 30, 2024
313 MOOTY BRIDGE RD STE 202, LAGRANGE, GA 30240(706) 837-0123 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, May 21, 2026, Sep 30, 2024 (3 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 1568280519), doing business as American Dental Of Lagrange, is a healthcare organization registered as a pediatric dentistry in Lagrange, 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

NPI1568280519
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN AND TEEN DENTAL GROUP
Location Address313 MOOTY BRIDGE RD STE 202Lagrange, GA 30240-1809
Mailing Address2300 Lakeview Pkwy Ste 250Alpharetta, GA 30009-3954 · (470) 750-4866
Phone(706) 837-0123
Organization SubpartYes
Authorized OfficialJennifer Jordan RogersCredentialing Specialist · (470) 801-4637
Enumeration DateSeptember 30, 2024
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1568280519 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
313 MOOTY BRIDGE RD STE 202, Lagrange, GA 30240
Open in Google Maps ↗

Other Names 1

Doing Business AsAmerican Dental Of Lagrange

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 3

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

DR. GARY TYRONE BISHOP DMD
Dentist (General Practice)
313 MOOTY BRIDGE RD STE 202
LAGRANGE, GA 30240
Troup County (706) 837-0123
DR. KATHLEEN RUTH FADLER DMD
Dentist (General Practice)
313 MOOTY BRIDGE RD STE 202
LAGRANGE, GA 30240
Troup County (706) 837-0123
CHATTAHOOCHEE FAMILY ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
313 MOOTY BRIDGE RD STE 202
LAGRANGE, GA 30240
Troup County (706) 837-0123

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 1568280519. It was assigned to this organization in the NPPES registry on September 30, 2024. The provider is doing business as American Dental of LaGrange.

Where is Children And Teen Dental Group located?

Children And Teen Dental Group is located at 313 Mooty Bridge Rd Ste 202, Lagrange, GA 30240. The listed phone number is (706) 837-0123.

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 July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.