Organization
COLLINS FAMILY DENTISTRY
Active
Organization
COLLINS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAIGE J COLLINS D.M.D. (DENTIST)
(334) 642-2200
Entity
Organization
Contact information
Practice address
2105 BROAD AVE, STE E, LANETT, AL 36863-3117
(334) 642-2200
Mailing address
2105 BROAD AVE, STE E, LANETT, AL 36863
(334) 642-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4359
AL
1223G0001X
General Practice Dentistry
4617
AL
124Q00000X
Dental Hygienist
5480
AL
124Q00000X
Dental Hygienist
Primary
5836
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860466
UNITED CONCORDIA PROVIDER
—
01
—
91622
BCBS PROVIDER NUMBER
—
Enumeration date
07/25/2006
Last updated
09/11/2025
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