CHILDREN AND TEEN DENTAL GROUP, PC


Address: 285 Elm St, Cumming, GA 30040-8233
Phone: 7707444581

CHILDREN AND TEEN DENTAL GROUP, PC (NPI# 1972991248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972991248
Entity Type Organization
Organization Name CHILDREN AND TEEN DENTAL GROUP, PC
Practice Address 285 Elm St
Cumming
GA 30040-8233
Practice Telephone 7707444581
Mailing Telephone 7707444581
Enumeration Date 2015-01-08
Last Update Date 2015-01-08
Authorized Official Name DR. DOUGLAS G. HISER (ORTHODONTIST/OWNER)
Authorized Official Telephone 7707444581
Authorized Official Credential DMD MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
011988 GA Dental Providers

Office Location

Street Address 285 ELM ST
City CUMMING
State GA
Zip Code 30040-8233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598848863 James Woodrow Lamb IIi Dentist 285 Elm St, Ste. 103, Cumming, GA 30040-8233 2006-10-23
1780135665 Chattahoochee Family Orthodontics Dentist 285 Elm St, Suite 101, Cumming, GA 30040-8233 2016-10-17
1659611184 Christina Mckellar Dentist 285 Elm St, Ste 301, Cumming, GA 30040-8233 2013-02-20
1467646729 Douglas Garland Hiser Dentist 285 Elm St, Suite 101, Cumming, GA 30040-8233 2007-08-30
1346462801 Renee L Waters, Md PC Pediatrics 285 Elm St, Suite 102, Cumming, GA 30040-8233 2007-05-03
1295806461 Kenneth Robert Wyatt Dentist 285 Elm St, Suite 200, Cumming, GA 30040-8233 2006-11-10

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1407415615 Jacqueline Small Nurse Practitioner 407 W Maple St # 101, Cumming, GA 30040 2019-06-11
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1851958334 North Georgia Pathology Pathology 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 2019-05-21
1598320087 Emily Rebecca Downs Physician Assistant 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 2019-05-09
1215490057 Shine Speech Language Therapy LLC Speech-Language Pathologist 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 2019-04-09
1417430075 Ashley Michelle Nollenberger Counselor 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 2018-09-10
1518445410 Village Pediatrics At Vickery Pediatrics 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 2018-08-02
1306339841 Fukuzato Eyecare, Inc Optometrist 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 2018-06-09
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972010502 Cumming Pediatric Dentistry & Orthodontics, LLC Dentist 3275 Market Place Blvd Ste 150, Cumming, GA 30041-7980 2018-01-04
1144588997 Dhruti J Patel Dentist 2360 Trammel Estates Dr, Cumming, GA 30041-8425 2012-04-30
1356580633 R Jason Neil Bongiovi Dmd PC Dentist 3810 Windemere Parkway, Ste 502, Cumming, GA 30041 2009-02-11
1518026558 Childrens Dentistry of Cumming Dentist 285 Elm Street, Ste 101, Cumming, GA 30040 2006-12-06
1891873758 Jyoti Desh Sharma Dentist 1240 Buford Rd, Suite 150, Cumming, GA 30041-2731 2006-11-01
1659611184 Christina Mckellar Dentist 285 Elm St, Ste 301, Cumming, GA 30040-8233 2013-02-20
1407128663 Smiles for Kids LLC Dentist 1240 Buford Rd, Suite 150, Cumming, GA 30041-2731 2012-02-03
1306147459 Dentistry for Children of Cumming Cd, LLC Dentist 407 E Maple St, Ste 109, Cumming, GA 30040-2635 2010-11-05
1487854808 John Jason Haffner Dentist 3480 Keith Bridge Rd, Suite A-4, Cumming, GA 30041-5568 2007-07-24
1538276597 Michael Shawn Mcmoran Dentist 5830 Bond St, Suite 350, Cumming, GA 30040-0307 2006-08-24
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Competitor

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City CUMMING
Zip Code 30040

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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