GEORGIA DENTAL GROUP-LAGRANGE PC NPI 1720999808

NPI Information

  • NPI: 1720999808
  • Provider Name: GEORGIA DENTAL GROUP-LAGRANGE PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 313 MOOTY BRIDGE RD
    LAGRANGE, GA
    ZIP 30240
  • Phone: (706) 365-0016

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NPI Details

GEORGIA DENTAL GROUP-LAGRANGE PC is a dental clinic center in Lagrange, GA. GEORGIA DENTAL GROUP-LAGRANGE PC NPI is 1720999808. The provider is registered as an organization entity type.

The provider's business location address is:

313 MOOTY BRIDGE RD
LAGRANGE, GA
ZIP 30240-809
Phone: (706) 365-0016

The provider's authorized official is Christopher Zacharewicz .
The authorized official title is Coo and has the following contact phone number (913) 961-1270.

The enumeration date for this NPI number is 9/16/2026 and was last updated on 9/16/2026.

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
1261QD0000XClinic/CenterDentalYes

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

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