CHILDREN AND TEEN DENTAL GROUP OF FLORIDA NPI 1750056859

NPI Information

CHILDREN AND TEEN DENTAL GROUP OF FLORIDA is a pediatric dentistry dentist in Brandon, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CHILDREN AND TEEN DENTAL GROUP OF FLORIDA NPI is 1750056859. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

107 W ROBERTSON ST
BRANDON, FL
ZIP 33511-111
Phone: (813) 685-0804
Fax: (813) 681-7213

The provider's authorized official is Crystal Walker .
The authorized official title is Credentialing Mgr and has the following contact phone number (770) 744-4522.

The enumeration date for this NPI number is 8/11/2021 and was last updated on 8/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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