NPI age
11 years
Enumerated 2015-01-08
● Active Type 2 · Organization
Children And Teen Dental Group
Children And Teen Dental Group is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Caride
Credentialing Mgr
Last NPPES update
2025-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
11 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-01Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
285 Elm St
Cumming, GA 300408233
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 300093954
Authorized official
Nicole D Caride
Credentialing Mgr
📞 7277842721
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Douglas Hiser, DMD, MS, PC Dentist NPI 1467646729
- James Lamb, D.M.D., M.S. Dentist NPI 1598848863
- Christina McKellar, DMD Dentist NPI 1659611184
- Seon Gyeong Park, DDS Dentist NPI 1669097614
- Kenneth Wyatt, DMD Dentist NPI 1295806461
Specialties
-
Dentist PrimaryAn 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.
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.