Affordable Dentures Lagrange, P.C

Primary specialty

DentistTaxonomy code 122300000X

License

DN 012841 Issued in GA

Legal business name

AFFORDABLE DENTURES LAGRANGE, P.C

Practice address

1300 Lafayette Pkwy
Lagrange, GA 30241-2610

Phone

(706) 882-0322

Fax

(706) 882-0324

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Oletha Doss Simmons, DDS

Title

Practice Owner

Phone

(706) 882-0322

Specialties & licenses 1

Addresses

Tax ID family

Affordable Dentures - Lagrange PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Affordable Dentures - Lagrange, P.C.

  • Dentist
  • Lagrange, GA
  • NPI 1295132512
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1376819102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LAFAYETTE PKWY",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412610",
            "telephone_number": "706-882-0322",
            "fax_number": "706-882-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LAFAYETTE PKWY",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412610",
            "telephone_number": "706-882-0322",
            "fax_number": "706-882-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES LAGRANGE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "OLETHA",
        "authorized_official_middle_name": "DOSS",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "706-882-0322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN 012841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Oluwatosin Adefalu
• Adk Lagrange Operator, LLC (LaGrange Nursing and Rehab Center)
• Affordable Dentures - Lagrange, P.C.
• Affordable Dentures & Implants - Lagrange II, P.C.
• Affordable Dentures & Implants - Lagrange, P.C. (Affordable Dentures & Implants - LaGrange)
• Sherri Afolabi
• Syed Abuzar Waseem Ahmed
• Jung H Ahn, MD
• Soyoung Ahn
• Air Evac EMS, Inc. (Air Evac Lifeteam)

• Dentist in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.