Individual provider · Type 1 NPI
Angela Bulloch-Patterson, DMD
Pediatric Dentistry · Lagrange, GA
NPI number
1053444547
Active
Practice location
202 Calumet Center Rd
Lagrange, GA 30241-6712
Fax (706) 298-5008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DN012736 (GA) |
| Pediatric Dentistry Primary | 1223P0221X | DN012736 (GA) |
Pediatric Dentistry: 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.
Another provider at this address
About NPI 1053444547
Angela Bulloch-Patterson, DMD's National Provider Identifier is 1053444547, issued on Mar 13, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lagrange, GA. The record was last updated on Aug 27, 2026.