Provider Demographics
NPI:1093819443
Name:COLLINS, PAIGE J (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:J
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 48TH ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36854-3634
Mailing Address - Country:US
Mailing Address - Phone:334-756-4000
Mailing Address - Fax:334-756-4003
Practice Address - Street 1:1902 48TH ST
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:AL
Practice Address - Zip Code:36854-3634
Practice Address - Country:US
Practice Address - Phone:334-756-4000
Practice Address - Fax:334-756-4003
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL43591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009900210Medicaid
AL91622OtherBLUE CROSS/BLUE SHIELD
ALBC2624218OtherDEA