| Angela Bulloch-patterson, DMD | |
|
202 Calumet Center Rd, Lagrange, GA 30241-6712 | |
| (706) 298-0007 | |
| (706) 298-5008 |
| Full Name | Angela Bulloch-patterson |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 202 Calumet Center Rd, Lagrange, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053444547 | NPI | - | NPPES |
| 588361758A | Medicaid | GA | |
| 790594 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012736 (Georgia) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN012736 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Bulloch-patterson, DMD 105 Parker Dr, Suite B, Lagrange, GA 30240-6436 Ph: (706) 298-5007 | Angela Bulloch-patterson, DMD 202 Calumet Center Rd, Lagrange, GA 30241-6712 Ph: (706) 298-0007 |
Dr. John Bowen Beall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 106 Corporate Plaza Dr, Lagrange, GA 30241 Phone: 706-882-2597 Fax: 706-882-0836 | |
Robert S Gold, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 104 Harwell Ave, Lagrange, GA 30240 Phone: 706-837-0123 Fax: 706-884-2649 | |
Dr. Joel William Pritchett, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 307 Church St, Lagrange, GA 30240 Phone: 706-882-0591 Fax: 706-845-9546 | |
Dr. George W Childress, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 114 Calumet Center Rd, Lagrange, GA 30241 Phone: 706-882-1888 Fax: 706-882-0321 | |
Deema Raslan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 307 Church St, Lagrange, GA 30240 Phone: 706-884-3263 | |
Dr. David Keith Fagundes, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Parker Dr, Suite A, Lagrange, GA 30240 Phone: 706-884-3636 Fax: 706-884-8490 |