OrganizationActive
Countryside Dental - Lagrange
NPI 1558223461 · Dental Clinic/Center · Lagrange, GA
Countryside Dental - Lagrange is a Dental Clinic/Center organization in Lagrange, GA (NPI 1558223461).
Provider details
- NPI number
- 1558223461
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yokeca Watts, Dentist, Partner(205) 563-9877
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
307 Church St Fl 1
Lagrange, GA 30240-2700
Phone: (706) 884-3263
Fax: (706) 884-3263
Street-level locationGet directions
Mailing address
307 Church St Fl 1
Lagrange, GA 30240-2700
Other names (DBA / former)
- Doing business as
- Countryside Dental & Aesthetics
Registry dates
- Enumerated
- 2025-11-29
- Last updated
- 2025-11-29
- Certified
- 2025-11-29
Frequently asked questions
- What is Countryside Dental - Lagrange's NPI number?
- Countryside Dental - Lagrange's National Provider Identifier (NPI) is 1558223461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Dental - Lagrange?
- Countryside Dental - Lagrange is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Countryside Dental - Lagrange located?
- Countryside Dental - Lagrange's practice location on file with NPPES is 307 Church St Fl 1, Lagrange, GA 30240-2700.
- What is Countryside Dental - Lagrange's phone number?
- The practice phone number listed in the NPPES registry for Countryside Dental - Lagrange is (706) 884-3263.
- Who is the authorized official for Countryside Dental - Lagrange?
- The authorized official listed on Countryside Dental - Lagrange's NPPES record is Yokeca Watts, Dentist, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Dental - Lagrange's NPI active?
- Yes — Countryside Dental - Lagrange's NPI (1558223461) is active in the NPPES registry as of the last update on 2025-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.