AMERICAN DENTAL OF LAGRANGE, LLC (NPI# 1114129343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114129343 |
| Entity Type | Organization |
| Organization Name | AMERICAN DENTAL OF LAGRANGE, LLC |
| Practice Address |
313 Mooty Bridge Road Lagrange GA 30240 |
| Mailing Address |
P.o Box 457 Eastman GA 31023 |
| Practice Telephone | 7068370123 |
| Practice Fax Number | 7066685100 |
| Mailing Telephone | 4782907340 |
| Mailing Fax Number | 7066685100 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | DR. MICHAEL ALAN KNIGHT (DDS) |
| Authorized Official Telephone | 7068370123 |
| Authorized Official Credential | DMO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
313 MOOTY BRIDGE ROAD |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539814 | Kathleen Ruth Fadler | Dentist | 313 Mooty Bridge Rd Ste 202, Lagrange, GA 30240-1809 | 2019-07-08 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1265603963 | Tara W Milligan | Dentist | 313 Mooty Bridge Rd, Lagrange, GA 30240-1809 | 2008-03-20 |
| 1760687693 | James A Tyrer IIi | Dentist | 407 N Greenwood St, Lagrange, GA 30240-2201 | 2007-06-20 |
| 1396950176 | Craig Lee Nelson | Dentist | 405 Union St, Lagrange, IN 46761-2234 | 2007-05-14 |
| 1174746721 | George W Childress | Dentist | 114 Calumet Center Rd, Lagrange, GA 30241-6703 | 2007-04-11 |
| 1093845208 | Robert S Gold | Dentist | 104 Harwell Ave, Lagrange, GA 30240-3132 | 2007-03-06 |
| 1952447153 | K Jackson Dmd PC | Dentist | 204 Smith St, Lagrange, GA 30240-2744 | 2007-01-29 |
| 1801948294 | Leon Rechtman | Dentist | 105 Vernon St, Lagrange, GA 30240-3109 | 2007-01-17 |
| 1376609784 | Patricia Ann Salter | Dentist | 1423 Lafayette Pkwy, Lagrange, GA 30241-2552 | 2006-12-29 |
| Find all providers in LAGRANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.