NPI 1063969368 · live from the CMS NPI Registry
Children And Teen Ortho Group Of Alabama
Dentist, Orthodontics and Dentofacial Orthopedics in Tuscaloosa, AL. National Provider Identifier 1063969368, active.
NPI record
| NPI | 1063969368 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 221 Rice Mine Rd Ne Ste 260, Tuscaloosa, AL 35406 |
| Practice phone | 205-758-3341 |
| Mailing address | 2300 Lakeview Pkwy Ste 250, Alpharetta, GA 30009 |
| Enumerated | September 2, 2016 |
| Last updated | May 21, 2026 |
| Authorized official | Brian Smith, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.