Organization Active NPI

Affordable Dentures & Implants - Lagrange II, P.C.

  • General Practice Dentistry
  • Lagrange, GA
National Provider Identifier
1760247209
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - LAGRANGE II, P.C.
Practice address
1300 Lafayette Pkwy Ste E
Lagrange, GA 30241-2610
Phone
(706) 882-0322
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Olajumoke Adedoyin, DDS
Title
Owner
Phone
(706) 882-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1300 Lafayette Pkwy Ste E
Lagrange, GA 30241-2610

Mailing address

1300 Lafayette Pkwy Ste E
Lagrange, GA 30241-2610
Phone (706) 882-0322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1760247209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LAFAYETTE PKWY STE E",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412610",
            "telephone_number": "706-882-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LAFAYETTE PKWY STE E",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412610",
            "telephone_number": "706-882-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - LAGRANGE II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "ADEDOYIN",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-882-0322",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.