American Dental of Lagrange, LLC
Organization Active NPI General Practice Dentistry · Lagrange, GA
NPI 1114129343 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1114129343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- AMERICAN DENTAL OF LAGRANGE, LLC
- Practice address
- 313 Mooty Bridge Road
Lagrange, GA 30240 - Phone
- (706) 837-0123
- Fax
- (706) 668-5100
- NPI assigned
- Jun 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Alan Knight, DMO
- Title
- DDS
- Phone
- (706) 837-0123
Practitioners 2
-
Tara W Milligan, DDS
-
Eddie Q Willis, DMD
National Provider Directory
Locations
313 Mooty Bridge Rd
Lagrange, GA 30240
Phone (706) 837-0123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
313 Mooty Bridge Road
Lagrange, GA 30240
Mailing address
P.O Box 457
Eastman, GA 31023
Phone (478) 290-7340
Other providers in Lagrange, GA
- Robin Alligood
- Joseph Morris Almand Jr.
- Abdallah Yousef Suleiman Almegdadi
- Madelyn Almonte
- Amedisys Georgia LLC
- Mohd Khairul Anam
- Kayla Anderson
- Andre D. Feria MD PC
- John Scott Andrews
- Leanna K Andrews
All providers in Lagrange, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.