West Georgia Dental Of La Grange,pc is a Dental Clinic in Lagrange, Georgia. It is located at 1555 Doctors Dr Ste 105, Lagrange, GA and its contact number is 706-812-8220. The authorized person for West Georgia Dental Of La Grange,pc is Dr. Tara Milligan Allen
who is President of the clinic and their contact number is 706-812-8220. The primary license number for West Georgia Dental Of La Grange,pc is DN011455 (General Practice) in Georgia. West Georgia Dental Of La Grange,pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
West Georgia Dental Of La Grange,pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
West Georgia Dental Of La Grange,pc
Specialization:
General Practice Dentistry
Clinic Address:
1555 Doctors Dr Ste 105, Lagrange, Georgia, 30240-4132
Phone:
706-812-8220
Fax:
706-812-8218
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Tara Milligan Allen
Position:
President
Contact Number:
706-812-8220
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for West Georgia Dental Of La Grange,pc clinic are as mentioned below.
NPI Number:
1083648216
NPI Enumeration Date:
11 Jul, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for West Georgia Dental Of La Grange,pc are as mentioned below.
Specialization
License Number
State
Status
General Practice
DN011455
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
167795
Other
Georgia
Doral/wellcare
100198
Other
Georgia
Avesis/peachstate
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
West Georgia Dental Of La Grange,pc 1555 Doctors Dr Ste 105, Lagrange, Georgia
Zip:
30240-4132
Phone Number:
706-812-8220
Fax Number:
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Patients can reach West Georgia Dental Of La Grange,pc at 1555 Doctors Dr Ste 105, Lagrange, Georgia or can call to book an appointment on 706-812-8220. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.