Healthcare Provider Details

I. General information

NPI: 1922902436
Provider Name (Legal Business Name): PATTERSON AND CO DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 BURTON DR
HOSCHTON GA
30548-1479
US

IV. Provider business mailing address

767 BURTON DR
HOSCHTON GA
30548-1479
US

V. Phone/Fax

Practice location:
  • Phone: 706-438-8334
  • Fax:
Mailing address:
  • Phone: 706-438-8334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CHIP REX PATTERSON
Title or Position: OWNER
Credential: DMD
Phone: 706-438-8334