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WEST GEORGIA DENTAL OF LA GRANGE,PC
NPI 1083648216
Dentist - General Practice in Lagrange, GA

Active since July 11, 2006
1555 DOCTORS DR STE 105, LAGRANGE, GA 30240(706) 812-8220(706) 812-8218 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About West Georgia Dental Of La Grange,pc NPPES

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

WEST GEORGIA DENTAL OF LA GRANGE,PC (NPI 1083648216) is a healthcare organization registered as a general practice in Lagrange, Georgia and active in the NPI registry since July 2006. The organization lists Tara Milligan Allen, President, as its authorized official.

NPPES Registry Identity

NPI1083648216
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWEST GEORGIA DENTAL OF LA GRANGE,PC
Location Address1555 DOCTORS DR STE 105Lagrange, GA 30240-4132
Mailing Address1555 Doctors Dr Ste 105Lagrange, GA 30240-4132 · (706) 812-8220
Phone(706) 812-8220
Fax(706) 812-8218
Organization SubpartNo
Authorized OfficialTara Milligan AllenPresident · (706) 812-8220
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083648216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN011455
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.

1555 DOCTORS DR STE 105, Lagrange, GA 30240
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Other Identifiers 2

Other100198GA · Avesis/peachstate
Other167795GA · Doral/wellcare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 West Georgia Dental Of La Grange,pc's NPI number?

The NPI number for West Georgia Dental Of La Grange,pc is 1083648216. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is West Georgia Dental Of La Grange,pc located?

West Georgia Dental Of La Grange,pc is located at 1555 Doctors Dr Ste 105, Lagrange, GA 30240. The listed phone number is (706) 812-8220.

What is West Georgia Dental Of La Grange,pc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for West Georgia Dental Of La Grange,pc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.