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NPI 1144085192 · live from the CMS NPI Registry

Children And Teen Ortho Group Of Florida

Dentist, Orthodontics and Dentofacial Orthopedics in Brandon, FL. National Provider Identifier 1144085192, active.

NPI record

NPI1144085192 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location213 Kingsway Rd Ste A, Brandon, FL 33510
Practice phone813-440-3161
Mailing address2300 Lakeview Pkwy Ste 250, Alpharetta, GA 30009
EnumeratedFebruary 19, 2024
Last updatedMay 21, 2026
Authorized officialBrian Smith, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.