NPI 1295265080 · live from the CMS NPI Registry
Joseph Erickson, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Lagrange, GA. National Provider Identifier 1295265080, active.
NPI record
| NPI | 1295265080 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 104 Old Mill Rd, Lagrange, GA 30241 |
| Practice phone | 706-884-0049 |
| Mailing address | 125 Eagles Pointe Pkwy Ste 220, Stockbridge, GA 30281 |
| Enumerated | June 14, 2017 |
| Last updated | September 8, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN122837 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.