Children and Teen Dental Group of Florida

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHILDREN AND TEEN DENTAL GROUP OF FLORIDA

Practice address

225 Imperial Blvd
Lakeland, FL 33803-4612

Phone

(863) 644-4739

NPI assigned

Sep 11, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Smith

Title

Cfo

Phone

(770) 231-5348

Specialties & licenses 4

Addresses

Tax ID family

Children and Teen Dental Group of Florida10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

• Children and Teen Dental Group of Florida

  • General Practice Dentistry
  • New Port Richey, FL
  • NPI 1194309930
  NPD tax ID
• Children and Teen Dental Group of Florida

  • General Practice Dentistry
  • Winter Haven, FL
  • NPI 1336722388
  NPD tax ID
• Children and Teen Dental Group of Florida

  • General Practice Dentistry
  • Seminole, FL
  • NPI 1376115758
  NPD tax ID
• Children and Teen Dental Group of Florida

  • General Practice Dentistry
  • Brooksville, FL
  • NPI 1376127118
  NPD tax ID
• Children and Teen Dental Group of Florida

  • General Practice Dentistry
  • Lakeland, FL
  • NPI 1396310454
  NPD tax ID
• Children and Teen Dental Group of Florida

  • Dentist
  • Palm Harbor, FL
  • NPI 1447720347
  NPD tax ID
• Children and Teen Dental Group of Florida

  • General Practice Dentistry
  • Palm Harbor, FL
  • NPI 1518749944
  NPD tax ID
• Children and Teen Dental Group of Florida

  • General Practice Dentistry
  • Palm Harbor, FL
  • NPI 1750055182
  NPD tax ID
• Children and Teen Dental Group of Florida

  • General Practice Dentistry
  • Brandon, FL
  • NPI 1750056859
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thieu Cong Dao, DDS

  • General Practice Dentistry
  • Palm Harbor, FL
  • NPI 1881810158
  NPD (past)
• Tanya Sehgal

  • Pediatric Dentistry
  • Winter Haven, FL
  • NPI 1538728654

  General Practice

  NPD (past)
• Erika Ramos Siemiet, DDS

  • General Practice Dentistry
  • Palm Harbor, FL
  • NPI 1770709057
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1982072633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LAKEVIEW PKWY STE 250",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093954",
            "telephone_number": "470-207-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 IMPERIAL BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034612",
            "telephone_number": "863-644-4739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3885 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338131109",
            "country_code": "US",
            "telephone_number": "863-644-4739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13063 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346134838",
            "country_code": "US",
            "telephone_number": "352-666-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3413 S Kings Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335117780",
            "country_code": "US",
            "telephone_number": "813-685-0804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8686 131st St Ste C",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337762700",
            "country_code": "US",
            "telephone_number": "727-605-5775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31067 US Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346844416",
            "country_code": "US",
            "telephone_number": "727-304-5483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 E Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338033601",
            "country_code": "US",
            "telephone_number": "863-667-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 W Robertson St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115111",
            "country_code": "US",
            "telephone_number": "813-440-3161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 3RD ST SW",
            "address_purpose": "LOCATION",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803419",
            "country_code": "US",
            "telephone_number": "863-797-8453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5456 Spring Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346064559",
            "country_code": "US",
            "telephone_number": "352-666-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2707 Tampa Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843312",
            "country_code": "US",
            "telephone_number": "727-785-6521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5245 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346523967",
            "country_code": "US",
            "telephone_number": "727-847-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN AND TEEN DENTAL GROUP OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-231-5348"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maneesha R Chigurupati, DDS
• Children and Teen Dental Group of Florida
• Children and Teen Ortho Group of Florida
• Children and Teen Ortho Group of Florida
• Children'S Choice Behavioral Services
• Children'S Home Society of Florida
• Children'S Home Society of Florida

• General Practice Dentistry in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.