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

West Georgia Dental of La Grange, PC

Organization General Practice Dentistry · NPI 1083648216

West Georgia Dental of La Grange, PC is a General Practice Dentistry in Lagrange, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1555 Doctors Dr Ste 105
Lagrange, GA 30240-4132
Phone: (706) 812-8220
Fax: (706) 812-8218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN011455 (GA)

Record details

NPI number1083648216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Allen — President · (706) 812-8220
NPI enumeratedJuly 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1555 Doctors Dr Ste 105, Lagrange, GA 30240-4132

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