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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 1952764797
Dentist - General Practice in Dacula, GA

Active since March 30, 2016
2119 HAMILTON CREEK PKWY STE 200, DACULA, GA 30019(770) 744-4581 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Jul 7, 2026, May 21, 2026 and 2 more (5 updates tracked since 2016).

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 1952764797) is a healthcare organization registered as a general practice in Dacula, Georgia and active in the NPI registry since March 2016. The organization lists Jennifer Jordan Rogers, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1952764797
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHILDREN AND TEEN DENTAL GROUP
Location Address2119 HAMILTON CREEK PKWY STE 200Dacula, GA 30019-3293
Mailing Address2300 Lakeview Pkwy Ste 250Alpharetta, GA 30009-3954 · (470) 750-4866
Phone(770) 744-4581
Organization SubpartNo
Authorized OfficialJennifer Jordan RogersCredentialing Specialist · (470) 801-4637
Enumeration DateMarch 30, 2016
Last NPPES UpdateSeptember 9, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1952764797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
2119 HAMILTON CREEK PKWY STE 200, Dacula, GA 30019
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 1952764797. It was assigned to this organization in the NPPES registry on March 30, 2016.

Where is Children And Teen Dental Group located?

Children And Teen Dental Group is located at 2119 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019. The listed phone number is (770) 744-4581.

What is Children And Teen Dental Group's specialty?

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

What insurance does Children And Teen Dental Group accept?

Health plans from UnitedHealthcare list Children And Teen Dental Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Children And Teen Dental Group 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 16 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.