institution
West Georgia Dental Of La Grange,pc
General Practice Dentistry in Lagrange, Georgia
NPI 1083648216

West Georgia Dental Of La Grange,pc is a General Practice Dentistry based in Lagrange, GA and is specialized in General Practice. West Georgia Dental Of La Grange,pc practices in Lagrange, GA. The NPI Number for West Georgia Dental Of La Grange,pc is 1083648216 and holds a License No. DN011455 (Georgia).

The current practice location address for West Georgia Dental Of La Grange,pc is 1555 Doctors Dr Ste 105, Lagrange, GA and can be reached out via phone at 706-812-8220 and via fax at 706-812-8218.

Location: 1555 Doctors Dr Ste 105, Lagrange, GA, 30240-4132
institution
Provider Profile Details
NPI Number
1083648216
Provider Name
West Georgia Dental Of La Grange,pc
Credential
Provider Entity Type
Organization
Address
1555 Doctors Dr Ste 105, Lagrange, GA, 30240-4132
Phone Number
706-812-8220
Fax Number
706-812-8218
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
167795 01 GA DORAL/WELLCARE
100198 01 GA AVESIS/PEACHSTATE
institution
Provider Business Practice Location Address Details
Address
1555 Doctors Dr Ste 105
City
State
Zip
30240-4132
Phone Number
706-812-8220
Fax Number
706-812-8218
person
Provider Business Mailing Address Details
Address
1555 Doctors Dr Ste 105
City
State
Zip
30240-4132
Phone Number
706-812-8220
Fax Number
706-812-8218
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DN011455 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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