OrganizationActive
American Dental of Lagrange, LLC
NPI 1114129343 · General Practice Dentistry · Lagrange, GA
Provider details
- NPI number
- 1114129343
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Knight, DDS(706) 837-0123
Specialties & taxonomies
Dental Providers
Practice location
313 Mooty Bridge Road
Lagrange, GA 30240
Phone: (706) 837-0123
Fax: (706) 668-5100
Approximate (ZIP-level) locationGet directions
Mailing address
P.o Box 457
Eastman, GA 31023
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2016-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.