IndividualActive
Angela Bulloch-Patterson, DMD
NPI 1053444547 · Pediatric Dentistry · Lagrange, GA
Provider details
- NPI number
- 1053444547
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DN012736 (GA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
202 Calumet Center Rd
Lagrange, GA 30241-6712
Phone: (706) 298-0007
Fax: (706) 298-5008
Approximate (ZIP-level) locationGet directions
Mailing address
105 Parker Dr
Lagrange, GA 30240-6436
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2018-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.