Georgia Dental Group-Lagrange PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GEORGIA DENTAL GROUP-LAGRANGE PC

Practice address

313 Mooty Bridge Rd
Lagrange, GA 30240-1809

Phone

(706) 365-0016

NPI assigned

Sep 16, 2026

Last updated

Sep 16, 2026By 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

Christopher Zacharewicz

Title

Coo

Phone

(913) 961-1270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1720999808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PROFESSIONAL WAY",
            "city": "BALDWIN",
            "state": "GA",
            "postal_code": "305114000",
            "telephone_number": "913-961-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MOOTY BRIDGE RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302401809",
            "telephone_number": "706-365-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DENTAL GROUP-LAGRANGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "ZACHAREWICZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "913-961-1270"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.