# PAIGE P. WARREN DMD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942579529
- **Authorized official:** DR. PAIGE P WARREN DMD (PRESIDENT)
- **Authorized official phone:** (270) 667-7301

## Contact information

- **Practice address:** 125 E MAIN ST, PROVIDENCE, KY 42450-1268
- **Practice address phone:** (270) 667-7301
- **Practice address fax:** (270) 667-7630
- **Mailing address:** 125 E MAIN ST, PROVIDENCE, KY 42450-1268
- **Mailing address phone:** (270) 667-7301
- **Mailing address fax:** (270) 667-7630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7194 | KY | Yes |

## Other

- **Enumeration date:** 12/28/2011
- **Last updated:** 12/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60071941 | — | KY |