Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CHILDREN'S DENTISTRY OF WEST GEORGIA, LLC
NPI 1437066982
Dentist - Pediatric Dentistry in Lagrange, GA

Active since August 27, 2026
202 CALUMET CENTER RD, LAGRANGE, GA 30241(706) 298-5007 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Children's Dentistry Of West Georgia, Llc NPPES

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

CHILDREN'S DENTISTRY OF WEST GEORGIA, LLC (NPI 1437066982) is a healthcare organization registered as a pediatric dentistry in Lagrange, Georgia and active in the NPI registry since August 2026. The organization lists Angela Denise Bulloch-patterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1437066982
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S DENTISTRY OF WEST GEORGIA, LLC
Location Address202 CALUMET CENTER RDLagrange, GA 30241-6712
Mailing Address202 Calumet Center RdLagrange, GA 30241-6712 · (706) 298-5007 · Fax (706) 298-5008
Organization SubpartNo
Authorized OfficialAngela Denise Bulloch-pattersonOwner · (706) 298-5007
Enumeration DateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
NPI 1437066982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
202 CALUMET CENTER RD, Lagrange, GA 30241

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
202 CALUMET CENTER RD
LAGRANGE, GA 30241

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 Children's Dentistry Of West Georgia, LLC's NPI number?

The NPI number for Children's Dentistry Of West Georgia, LLC is 1437066982. It was assigned to this organization in the NPPES registry on August 27, 2026.

Where is Children's Dentistry Of West Georgia, LLC located?

Children's Dentistry Of West Georgia, LLC is located at 202 Calumet Center Rd, Lagrange, GA 30241. The listed phone number is (706) 298-5007.

What is Children's Dentistry Of West Georgia, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Children's Dentistry Of West Georgia, LLC was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.