| West Georgia Dental Of La Grange,pc | |
|
1555 Doctors Dr Ste 105 Lagrange GA 30240-4132 | |
| (706) 812-8220 | |
| (706) 812-8218 |
| Full Name | West Georgia Dental Of La Grange,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1555 Doctors Dr Ste 105, Lagrange, Georgia |
| Authorized Official Name and Position | Tara Milligan Allen (PRESIDENT) |
| Authorized Official Contact | 7068128220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Georgia Dental Of La Grange,pc 1555 Doctors Dr Ste 105 Lagrange GA 30240-4132 Ph: (706) 812-8220 | West Georgia Dental Of La Grange,pc 1555 Doctors Dr Ste 105 Lagrange GA 30240-4132 Ph: (706) 812-8220 |
| NPI Number | 1083648216 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083648216 | NPI | - | NPPES |
| 167795 | Other | GA | DORAL/WELLCARE |
| 100198 | Other | GA | AVESIS/PEACHSTATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011455 (Georgia) | Primary |
Dr. Hector M. Bush, P. C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Commerce Ave, Lagrange, GA 30241 Phone: 706-882-8081 Fax: 706-882-8661 | |
John M. Jackson, Jr., D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 S Lewis St, Lagrange, GA 30240 Phone: 706-845-0544 | |
Kid's Zone Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Church St, Suite A, Lagrange, GA 30240 Phone: 706-882-0591 Fax: 706-845-9546 | |
American Dental Of Lagrange, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Mooty Bridge Road, Lagrange, GA 30240 Phone: 706-837-0123 Fax: 706-668-5100 | |
Patricia Ann Deloach Salter, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 Lafayette Pkwy, Lagrange, GA 30241 Phone: 706-884-2457 Fax: 706-845-9786 | |
Calumet Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Calumet Center Rd, Lagrange, GA 30241 Phone: 706-882-2937 |