Countryside Dental - Lagrange

NPI #1558223461 in Lagrange, Georgia

Provider Information

NPI Number
1558223461
Entity Type
Organization
Organization Name
Countryside Dental - Lagrange
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 29, 2025
Last Updated
Nov 29, 2025

Practice Location

Address
307 CHURCH ST FL 1
State
Georgia
ZIP Code
30240-2700
Phone
(706) 884-3263

Authorized Official

Name
YOKECA NICOLE WATTS, DMD
Title
DENTIST, PARTNER
Phone
(205) 563-9877

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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