Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children and Teen Dental Group

Organization Dentist · NPI 1215755004

Children and Teen Dental Group is a Dentist in Fitzgerald, Georgia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

320 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8694
Phone: (229) 423-9471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Dentist Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1215755004
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren and Teen Dental Group
Authorized official Jennifer Rogers — Credentialing Specialist · (470) 801-4637
Other names American Dental Of Fitzgerald
NPI enumeratedSeptember 30, 2024
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address2300 Lakeview Pkwy Ste 250, Alpharetta, GA 30009-3954

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