Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Dental - Lagrange

Organization Dental Clinic/Center · NPI 1558223461

Countryside Dental - Lagrange is a Dental Clinic/Center in Lagrange, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

307 Church St Fl 1
Lagrange, GA 30240-2700
Phone: (706) 884-3263
Fax: (706) 884-3263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1558223461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yokeca Watts — Dentist, Partner · (205) 563-9877
Other names Countryside Dental & Aesthetics
NPI enumeratedNovember 29, 2025
Last updated in NPPESNovember 29, 2025
Certification dateNovember 29, 2025
Mailing address307 Church St Fl 1, Lagrange, GA 30240-2700