Organization
PAIGE P. WARREN DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAIGE P WARREN DMD (PRESIDENT)
(270) 667-7301
Entity
Organization
Contact information
Practice address
125 E MAIN ST, PROVIDENCE, KY 42450-1268
(270) 667-7301
(270) 667-7630
Mailing address
125 E MAIN ST, PROVIDENCE, KY 42450-1268
(270) 667-7301
(270) 667-7630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7194
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60071941
—
KY
Enumeration date
12/28/2011
Last updated
12/28/2011
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