● Active Type 1 · Individual

Angela Bulloch-Patterson, DMD

Dentist·Lagrange, GA· NPI 1053444547 · Enumerated 2007 · 19 years on NPI

Bulloch-Patterson is 1 of 2 dentist providers in Lagrange and 1 of 539 in Georgia.

NPI age

19 years

Enumerated 2007-03-13

Primary specialty

Dentist

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2018-12-19

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age

19 years

↑ 3 yr above median (16 yr)

State licenses

1 state

11% of peers hold multiple states

Subspecialties

In the 26% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES

2007 2026

Where they practice

Practice location

202 Calumet Center Rd

Lagrange, GA 302416712

📞 7062980007fax 7062985008

Mailing address

105 Parker Dr, Suite B

Lagrange, GA 302406436

📞 7062985007fax 7062985008

Specialties

Dental Providers › Dentist

Dentist Primary

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.

GA license #DN012736 taxonomy 1223P0221X
Dentist

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...

GA license #DN012736 taxonomy 122300000X

Identifiers

Type	Value	Notes
05 (GA)	588361758A
05 (AZ)	790594

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.