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Children and Teen Dental Group of Florida

General Practice Dentistry in Lakeland, FL · enumerated 2021 · authorized official Jennifer Rogers, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396310454

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Registry record

Entity type Organization (Type 2)
Legal business name Children and Teen Dental Group of Florida
Parent organization Children and Teen Dental Group of Florida
Practice address 2015 E Edgewood Dr, Lakeland, FL, 33803
Phone (863) 667-6900
Fax (866) 963-6483
Enumeration date May 21, 2021
Last updated in NPPES Sep 9, 2026

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
1223G0001X General Practice Dentistry Dental Providers Primary
1223P0221X Pediatric Dentistry Dental Providers Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary

Authorized official

Name Jennifer Rogers
Title Credentialing Specialist
Phone (470) 801-4637

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Children and Teen Dental Group of Florida?
Children and Teen Dental Group of Florida is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-09-09.