Children And Teen Dental Group Of Alabama
Dentist, Pediatric Dentistry in Gardendale, AL. Organization (NPI-2).
NPI number1508345828
StatusActive
Last updated in NPPESMay 20, 2026
Details
- NPI
- 1508345828
- Entity type
- Organization (NPI-2)
- Legal business name
- Children And Teen Dental Group Of Alabama
- Organization subpart
- No
- Enumeration date
- Aug 8, 2018
- Certification date
- May 20, 2026
- Last updated
- May 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
| 1223G0001X | Dentist, General Practice | – | – |
Practice location
323 Fieldstown Rd Ste 101Gardendale, AL 35071-2531
Phone 205-631-4572
Mailing address
2300 Lakeview Pkwy Ste 250Alpharetta, GA 30009-3954
Phone 470-207-3264
Authorized official
Brian Smith
Cfo
7702315348
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Other Pediatric Dentistry providers in Gardendale, AL
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- Kathryn J Hoar, DMDNPI 1851471593
- Carol Ann Nicrosi, DMDNPI 1932289675
- North Jefferson Pediatric Dentistry, LLCNPI 1043351950
- Amy T Parvin, D. M. D.NPI 1972692242
All 6 Pediatric Dentistry providers in Gardendale · All 483 providers in Gardendale
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