| Paige P. Warren Dmd Psc | |
|
125 E Main St Providence KY 42450-1268 | |
| (270) 667-7301 | |
| (270) 667-7630 |
| Full Name | Paige P. Warren Dmd Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 125 E Main St, Providence, Kentucky |
| Authorized Official Name and Position | Paige P Warren (PRESIDENT) |
| Authorized Official Contact | 2706677301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paige P. Warren Dmd Psc 125 E Main St Providence KY 42450-1268 Ph: (270) 667-7301 | Paige P. Warren Dmd Psc 125 E Main St Providence KY 42450-1268 Ph: (270) 667-7301 |
| NPI Number | 1942579529 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 12/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942579529 | NPI | - | NPPES |
| 60071941 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7194 (Kentucky) | Primary |
James D. Phillips, Dmd,psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Main St, Providence, KY 42450 Phone: 270-667-7301 Fax: 270-667-7630 |