Provider Demographics
NPI:1144565789
Name:PAIG, SHEILA (RDH, PHDHP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:PAIG
Suffix:
Gender:F
Credentials:RDH, PHDHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 ANNA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-3754
Mailing Address - Country:US
Mailing Address - Phone:412-334-5687
Mailing Address - Fax:
Practice Address - Street 1:1506 ANNA AVE
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-3754
Practice Address - Country:US
Practice Address - Phone:412-334-5687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-09
Last Update Date:2012-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH067466124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist