Angela Bulloch-Patterson
Dentist Pediatric Dentist
202 Calumet Center Rd
LaGrange
, Georgia 30241-6712
Angela Bulloch-Patterson
Dentist Pediatric Dentist
202 Calumet Center Rd
LaGrange
, Georgia 30241-6712
(706) 298-5008
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Angela Bulloch-Patterson
- 105 Parker Dr Suite B
- Lagrange, GA
- Zip : 30240-6436
- Fax : (706) 298-5008
- Phone : (706) 298-5007
Second Address
- Angela Bulloch-Patterson
- 202 Calumet Center Rd
- Lagrange, GA
- Zip : 30241-6712
- Fax : (706) 298-5008
- Phone : (706) 298-0007
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FAQs
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What type of doctor is Angela Bulloch-Patterson
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Is Angela Bulloch-Patterson a sole practitioner?
Is Angela Bulloch-Patterson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | DN012736 | GA |
| Y | 1223P0221X | Pediatric Dentist | DN012736 | GA |
National Provider Identifier
| NPI | 1053444547 |
|---|---|
| Provider Name | Angela Bulloch-Patterson |
| First Address | Lagrange, GA 30240-6436 |
| Second Address | Lagrange, GA 30241-6712 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2007 |
| Last Update Date | 19/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 588361758A | (05) | GA |
| 790594 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.