| Children And Teen Dental Group | |
|
5500 Lilburn Stone Mountain Rd Ste A Stone Mountain GA 30087-2873 | |
| (770) 923-5500 | |
| Not Available |
| Full Name | Children And Teen Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5500 Lilburn Stone Mountain Rd Ste A, Stone Mountain, Georgia |
| Authorized Official Name and Position | Nicole Caride (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7277842721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Teen Dental Group 2300 Lakeview Pkwy Ste 250 Alpharetta GA 30009-3954 Ph: (470) 207-3264 | Children And Teen Dental Group 5500 Lilburn Stone Mountain Rd Ste A Stone Mountain GA 30087-2873 Ph: (770) 923-5500 |
| NPI Number | 1184584666 |
|---|---|
| Provider Enumeration Date | 11/17/2025 |
| Last Update Date | 11/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184584666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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