NPI 1609632082 · live from the CMS NPI Registry
Children And Teen Ortho Group Of Florida
Dentist, Orthodontics and Dentofacial Orthopedics in Lakeland, FL. National Provider Identifier 1609632082, active.
NPI record
| NPI | 1609632082 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3885 S Florida Ave, Lakeland, FL 33813 |
| Practice phone | 863-333-0397 |
| Mailing address | 2300 Lakeview Pkwy Ste 250, Alpharetta, GA 30009 |
| Enumerated | February 23, 2024 |
| 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.