Active NPI
Joseph Erickson, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lagrange, GA
National Provider Identifier
1295265080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN122837
- Practice address
- 104 Old Mill Rd
Lagrange, GA 30241-6704 - Phone
- (706) 884-0049
- Fax
- (706) 884-2634
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN122837 | GA | Primary |
Addresses
Primary practice location
104 Old Mill Rd
Lagrange, GA 30241-6704
Mailing address
125 Eagles Pointe Pkwy Ste 220
Stockbridge, GA 30281-6379
Phone (770) 474-7177
Other practice location 1
125 Eagles Pointe Pkwy Ste 220
Stockbridge, GA 30281-6379
Phone (770) 474-7177
Other practice location 2
618 N Church St
Thomaston, GA 30286-3612
Phone (706) 647-4633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022285 | MI | MD | Dentist |
| DN122837 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William B Miller DMD PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lagrange, GA
- NPI 1881813772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1295265080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 EAGLES POINTE PKWY STE 220",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816379",
"telephone_number": "770-474-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 OLD MILL RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302416704",
"telephone_number": "706-884-0049",
"fax_number": "706-884-2634"
}
],
"practiceLocations": [
{
"address_1": "125 Eagles Pointe Pkwy Ste 220",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302816379",
"country_code": "US",
"telephone_number": "770-474-7177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "618 N Church St",
"address_purpose": "LOCATION",
"city": "Thomaston",
"state": "GA",
"postal_code": "302863612",
"country_code": "US",
"telephone_number": "706-647-4633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERICKSON",
"first_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN122837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
- Employment Opportunities Plus (Precious Angel Home Health Care)
- Empowered Minds Counseling and Consulting
- Enj Counseling, LLC
- Lashannon Patrice Epps, LPC
- David Neal Erchak, M.D.
- Evolve Surgical Associates LLC
- Kathleen Ruth Fadler, DMD
- David Keith Fagundes, D.M.D.
- Family Psychology Associates
- Fred Matthew Farrar, LPC , NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.