Children and Teen Dental Group of Florida
NPI 1336722388ActiveOrganization· Dentist, General Practice· Winter Haven, FL
Dentist, General Practice in Winter Haven, Florida, registered in NPPES in April 2021, part of Children and Teen Dental Group of Florida. The authorized official on file is Jennifer Jordan Rogers, Credentialing Specialist.
Overview
| NPI | 1336722388 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Children and Teen Dental Group of Florida |
| NPI issued | Apr 28, 2021 |
| Last updated in NPPES | Sep 9, 2026 |
| Certified by provider | Sep 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Winter Haven
- 1083044416
- 1174859920
- 1205191939
- 1255851457
- 1285368290
- 1295754018
- 1316353311
- 1326809278
- 1336588375
- 1336591577
- 1396261277
- 1467133397
All 56 general dentists in Winter Haven · All general dentists in Florida