Angela Bulloch-Patters in Lagrange - Dentist

Angela Bulloch-Patters - NPI 1053444547

Angela Bulloch-Patters is a Dentist in Lagrange, Georgia. Angela Bulloch-Patters practices all healthcare services and medical treatments related to Dentist. The NPI Number for Angela Bulloch-Patters is 1053444547. The last update date is 2018-12-19.

Angela Bulloch-Patters's current location address is 105 Parker Dr, Lagrange, Georgia. You can contact this provider via phone number 7062985007 and fax number 7062985008. The mailing address for Angela Bulloch-Patters is 105 Parker Dr, Lagrange, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Bulloch-Patters
Address 105 Parker Dr, Lagrange, Georgia
Phone Number 7062985007
Fax Number 7062985008
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1053444547
Provider Enumeration Date 2007-03-13
Last Updated Date 2018-12-19

Provider Mailing Address Detail

Address 105 Parker Dr
City Lagrange
State Georgia (GA)
Post Code 302406436
Phone Number 7062985007
Fax Number 7062985008

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DN012736
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
588361758A GA --
790594 AZ --

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FAQs about Angela Bulloch-Patters

What is the unique identifier code issued to Angela Bulloch-Patters by the Centers for Medicare & Medicaid Services (CMS)?

The Angela Bulloch-Patters has been assigned the NPI (National Provider Identifier) 1053444547. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Angela Bulloch-Patters is physically located?

The Angela Bulloch-Patters is situated at the following address: 105 Parker Dr, Lagrange, GA 302406436.

What is Angela Bulloch-Patters's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Angela Bulloch-Patters is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Angela Bulloch-Patters receive the assignment of its 1053444547 from the Centers for Medicare & Medicaid Services?

The Angela Bulloch-Patters was issued its 1053444547 by the Centers for Medicare & Medicaid Services on 2007-03-13.

When was the information related to Angela Bulloch-Patters most recently updated or refreshed?

The details pertaining to the Angela Bulloch-Patters, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-12-19.

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