ANGELA BULLOCH-PATTERSON DMD NPI 1053444547

NPI Information

  • NPI: 1053444547
  • Provider Name: ANGELA BULLOCH-PATTERSON, DMD
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 202 CALUMET CENTER RD
    LAGRANGE, GA
    ZIP 30241
  • Phone: (706) 298-0007

Map and Directions

Get Directions

NPI Details

Angela Bulloch-patterson, DMD is a pediatric dentistry dentist in Lagrange, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Angela Bulloch-patterson, DMD NPI is 1053444547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

202 CALUMET CENTER RD
LAGRANGE, GA
ZIP 30241-712
Phone: (706) 298-0007
Fax: (706) 298-5008

The enumeration date for this NPI number is 3/13/2007 and was last updated on 12/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDN012736GEORGIANo
21223P0221XDentistPediatric DentistryDN012736GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1588361758AMEDICAIDGEORGIA
2790594MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.