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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGELA BULLOCH-PATTERSON, DMD

Active

ANGELA BULLOCH-PATTERSON, DMD is a Pediatric Dentistry healthcare provider located in LAGRANGE, Georgia. NPI 1053444547 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LAGRANGE, GA

Registration Details

NPI Number
1053444547
Provider Type
Individual
Gender
Female
NPI Issued
Mar 13, 2007 (19.408696589444 yrs)
Last Updated
Dec 19, 2018
Licenses
DN012736 (GA)
DN012736 (GA)

Practice Information

Address
202 CALUMET CENTER RD
LAGRANGE, GA, 302416712
Browse GA providers · Browse ZIP 30241
Phone
7062980007
Fax
7062985008
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.