Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

West Georgia Dental of La Grange, PC

Organization General Practice Dentistry · NPI 1083648216

West Georgia Dental of La Grange, PC provides 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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