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 1568280519

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

In the registry since
2024
Specialties on file
3

Practice location Address checks out

313 Mooty Bridge Rd Ste 202
Lagrange, GA 30240-1809
Phone: (706) 837-0123
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 number1568280519
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 Lagrange
NPI enumeratedSeptember 30, 2024
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address2300 Lakeview Pkwy Ste 250, Alpharetta, GA 30009-3954

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