MEDICARE: CHILDREN AND TEEN DENTAL GROUP OF ALABAMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)
2	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1205295292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN AND TEEN DENTAL GROUP OF ALABAMA

Provider Business Mailing Address
First Line	:	2300 LAKEVIEW PKWY STE 250
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-3954
Country	:	US
Telephone Number	:	727-784-2721
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 MCFARLAND BLVD N STE D
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35406-2236
Country	:	US
Telephone Number	:	205-758-3341
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRIAN SMITH
Credential	:
Telephone Number	:	770-231-5348

Provider Enumeration Date	:	02/18/2016
Last Update Date	:	05/20/2026

Similar Medicare Providers

1891972501 — J BARRY BURGESS
Practice Location Address:

1825 MCFARLAND BLVD N STE D
TUSCALOOSA, AL
35406-2236

Practice Phone: 205-330-0866
Practice Fax: 205-366-1099

1639787021 — AMBIKA RANI SRIVASTAVA DMD, MPH
Practice Location Address:

1825 MCFARLAND BLVD N STE D
TUSCALOOSA, AL
35406-2236

Practice Phone: 205-758-3341
Practice Fax:

1013848811 — MRS. ASIA MONIQUE NEWTON RN
Practice Location Address:

301 RICE MINE RD NE
TUSCALOOSA, AL
35406-2403

Practice Phone: 205-750-0022
Practice Fax:

1679931950 — CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
Practice Location Address:

221 RICE MINE RD NE STE A
TUSCALOOSA, AL
35406-2401

Practice Phone: 205-758-3341
Practice Fax:

1063969368 — CHILDREN AND TEEN ORTHO GROUP OF ALABAMA
Practice Location Address:

221 RICE MINE RD NE STE 260
TUSCALOOSA, AL
35406-2401

Practice Phone: 205-758-3341
Practice Fax: 678-550-5490

1134059736 — DEKENDRIANA T TURNER
Practice Location Address:

1720 9TH ST N
TUSCALOOSA, AL
35406-2028

Practice Phone: 659-239-5041
Practice Fax:

Directions to “CHILDREN AND TEEN DENTAL GROUP OF ALABAMA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.