| Countryside Dental & Aesthetics | |
|
307 Church St Fl 1 Lagrange GA 30240-2700 | |
| (706) 884-3263 | |
| (706) 884-3263 |
| Full Name | Countryside Dental & Aesthetics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 307 Church St Fl 1, Lagrange, Georgia |
| Authorized Official Name and Position | Yokeca Nicole Watts (DENTIST, PARTNER) |
| Authorized Official Contact | 2055639877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Dental & Aesthetics 307 Church St Fl 1 Lagrange GA 30240-2700 Ph: (706) 884-3263 | Countryside Dental & Aesthetics 307 Church St Fl 1 Lagrange GA 30240-2700 Ph: (706) 884-3263 |
| NPI Number | 1558223461 |
|---|---|
| Provider Enumeration Date | 11/29/2025 |
| Last Update Date | 11/29/2025 |
| Certification Date | 11/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558223461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
Dr. Hector M. Bush, P. C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Commerce Ave, Lagrange, GA 30241 Phone: 706-882-8081 Fax: 706-882-8661 |
John M. Jackson, Jr., D.M.D., P.C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 S Lewis St, Lagrange, GA 30240 Phone: 706-845-0544 |
Kid's Zone Dentistry, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Church St, Suite A, Lagrange, GA 30240 Phone: 706-882-0591 Fax: 706-845-9546 |
West Georgia Dental of La Grange,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Doctors Dr Ste 105, Lagrange, GA 30240 Phone: 706-812-8220 Fax: 706-812-8218 |
American Dental of Lagrange, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Mooty Bridge Road, Lagrange, GA 30240 Phone: 706-837-0123 Fax: 706-668-5100 |
Rad Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Old Mill Rd, Lagrange, GA 30241 Phone: 706-884-0049 |