| Rad Orthodontics | |
|
104 Old Mill Rd Lagrange GA 30241-6704 | |
| (706) 884-0049 | |
| Not Available |
| Full Name | Rad Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 104 Old Mill Rd, Lagrange, Georgia |
| Authorized Official Name and Position | Joseph Erickson (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 2085503129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rad Orthodontics 104 Old Mill Rd Lagrange GA 30241-6704 | Rad Orthodontics 104 Old Mill Rd Lagrange GA 30241-6704 Ph: (706) 884-0049 |
| NPI Number | 1154231702 |
|---|---|
| Provider Enumeration Date | 09/08/2026 |
| Last Update Date | 09/08/2026 |
| Certification Date | 09/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154231702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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