OrganizationActive
West Georgia Dental of La Grange,pc
NPI 1083648216 · General Practice Dentistry · Lagrange, GA
West Georgia Dental of La Grange,pc is a General Practice Dentistry organization in Lagrange, GA (NPI 1083648216).
Provider details
- NPI number
- 1083648216
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tara Allen, President(706) 812-8220
- License
- DN011455 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1555 Doctors Dr Ste 105
Lagrange, GA 30240-4132
Phone: (706) 812-8220
Fax: (706) 812-8218
Street-level locationGet directions
Mailing address
1555 Doctors Dr Ste 105
Lagrange, GA 30240-4132
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is West Georgia Dental of La Grange,pc's NPI number?
- West Georgia Dental of La Grange,pc's National Provider Identifier (NPI) is 1083648216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is West Georgia Dental of La Grange,pc?
- West Georgia Dental of La Grange,pc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is West Georgia Dental of La Grange,pc located?
- West Georgia Dental of La Grange,pc's practice location on file with NPPES is 1555 Doctors Dr Ste 105, Lagrange, GA 30240-4132.
- What is West Georgia Dental of La Grange,pc's phone number?
- The practice phone number listed in the NPPES registry for West Georgia Dental of La Grange,pc is (706) 812-8220.
- Who is the authorized official for West Georgia Dental of La Grange,pc?
- The authorized official listed on West Georgia Dental of La Grange,pc's NPPES record is Tara Allen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is West Georgia Dental of La Grange,pc's NPI active?
- Yes — West Georgia Dental of La Grange,pc's NPI (1083648216) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.