Children and Teen Dental Group of Alabama
NPI 1508345828ActiveOrganization· Dentist, Pediatric Dentistry· Gardendale, AL
Dentist, Pediatric Dentistry in Gardendale, Alabama, registered in NPPES in August 2018. The authorized official on file is Brian Smith, Cfo.
Overview
| NPI | 1508345828 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2018 |
| Last updated in NPPES | May 20, 2026 |
| Certified by provider | May 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
| Dentist, General Practice | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
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