NPI age
— years
Enumerated 2025-11-29
● Active Type 2 · Organization
Countryside Dental - Lagrange
Countryside Dental - Lagrange is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Watts
Dentist, Partner
Last NPPES update
2025-11-29
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
0 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-11Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
307 Church St Fl 1
Lagrange, GA 302402700
Mailing address
307 Church St Fl 1
Lagrange, GA 302402700
Authorized official
Yokeca Nicole Watts, DMD
Dentist, Partner
📞 2055639877
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Countryside Dental & Aesthetics
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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