Countryside Dental - Lagrange
Countryside Dental - Lagrange is a healthcare organization registered as Dental Clinic/Center in Lagrange, GA, holding Type 2 (organization) NPI 1558223461 since 2025. The authorized official on file is Yokeca Watts, Dentist, Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558223461 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Countryside Dental - Lagrange |
| Practice address | 307 CHURCH ST FL 1, Lagrange, GA, 30240 |
| Phone | 7068843263 |
| Fax | 7068843263 |
| Enumeration date | 2025-11-29 |
| Last updated in NPPES | 2025-11-29 |
Authorized official
| Name | Yokeca Watts |
|---|---|
| Title | Dentist, Partner |
| Phone | 2055639877 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Countryside Dental - Lagrange NPI: 1558223461 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 307 CHURCH ST FL 1, Lagrange, GA, 30240
Verify this record
Cross-check NPI 1558223461 against the authoritative CMS record: view Countryside Dental - Lagrange on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Countryside Dental - Lagrange located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-29.