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ANGELA BULLOCH-PATTERSON DMD
NPI 1053444547
Dentist - Pediatric Dentistry in Lagrange, GA

Active since March 13, 2007
202 CALUMET CENTER RD, LAGRANGE, GA 30241(706) 298-0007(706) 298-5008 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Bulloch-patterson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA BULLOCH-PATTERSON DMD (NPI 1053444547) is an individual pediatric dentistry provider in Lagrange, Georgia, licensed in Georgia (DN012736) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1053444547
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameANGELA BULLOCH-PATTERSONCredential: DMD
Location Address202 CALUMET CENTER RDLagrange, GA 30241-6712
Mailing Address105 Parker Dr, Suite BLagrange, GA 30240-6436 · (706) 298-5007 · Fax (706) 298-5008
Phone(706) 298-0007
Fax(706) 298-5008
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateDecember 19, 2018
✔ NPI 1053444547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN012736
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License DN012736 (GA)
202 CALUMET CENTER RD, Lagrange, GA 30241
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Other Identifiers 2

Medicaid588361758AGA
Medicaid790594AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Bulloch-patterson's NPI number?

The NPI number for Angela Bulloch-patterson is 1053444547. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Angela Bulloch-patterson located?

Angela Bulloch-patterson practices at 202 Calumet Center Rd, Lagrange, GA 30241. The listed phone number is (706) 298-0007.

What is Angela Bulloch-patterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Angela Bulloch-patterson accept?

Health plans from Humana list Angela Bulloch-patterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Bulloch-patterson was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.