Individual
DR. BENEGAL SPENCER PAIGE SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
408 E MARKET ST, STE 206, CHARLOTTESVILLE, VA 22902-5261
(434) 977-1206
(434) 977-1206
Mailing address
408 E MARKET ST, STE 206, CHARLOTTESVILLE, VA 22902-5261
(434) 977-1206
(434) 977-1206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005400
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013211
—
VA
Enumeration date
12/05/2005
Last updated
07/08/2007
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