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 OF FLORIDA
NPI 1750056859
Dentist - General Practice in Brandon, FL

Active since August 11, 2021
3413 S KINGS AVE STE 200, BRANDON, FL 33511(813) 685-0804(813) 681-7213 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 9, 2026, May 20, 2026, Aug 22, 2024 and 2 more (5 updates tracked since 2021).

About Children And Teen Dental Group Of Florida NPPES

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

CHILDREN AND TEEN DENTAL GROUP OF FLORIDA (NPI 1750056859), doing business as Pediatric Dentistry Of Brandon, is a healthcare organization registered as a general practice in Brandon, Florida and active in the NPI registry since August 2021. The organization lists Brian Smith, President, as its authorized official.

NPPES Registry Identity

NPI1750056859
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHILDREN AND TEEN DENTAL GROUP OF FLORIDA
Location Address3413 S KINGS AVE STE 200Brandon, FL 33511-7780
Mailing Address2300 Lakeview Pkwy Ste 250Alpharetta, GA 30009-3954 · (470) 207-3264
Fax(813) 681-7213
Organization SubpartYes
Authorized OfficialBrian SmithPresident · (470) 207-3264
Enumeration DateAugust 11, 2021
Last NPPES UpdateSeptember 9, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
NPI 1750056859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
3413 S KINGS AVE STE 200, Brandon, FL 33511

Other Names 1

Doing Business AsPediatric Dentistry Of Brandon

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 4

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

Dentist (General Practice)
3413 S KINGS AVE STE 200
BRANDON, FL 33511
Dental Hygienist
3413 S KINGS AVE STE 200
BRANDON, FL 33511
Clinic/Center (Dental)
3413 S KINGS AVE STE 200
BRANDON, FL 33511
Dentist (General Practice)
3413 S KINGS AVE STE 200
BRANDON, FL 33511

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 Florida's NPI number?

The NPI number for Children And Teen Dental Group Of Florida is 1750056859. It was assigned to this organization in the NPPES registry on August 11, 2021. The provider is doing business as Pediatric Dentistry of Brandon.

Where is Children And Teen Dental Group Of Florida located?

Children And Teen Dental Group Of Florida is located at 3413 S Kings Ave Ste 200, Brandon, FL 33511. The listed phone number is (813) 685-0804.

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

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Children And Teen Dental Group Of Florida was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.