Provider Demographics
NPI:1700027455
Name:SUVAG, PAIGE (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:
Last Name:SUVAG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1598 MARION MOUNT GILEAD RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5820
Mailing Address - Country:US
Mailing Address - Phone:740-386-6600
Mailing Address - Fax:740-386-6602
Practice Address - Street 1:1598 MARION MOUNT GILEAD RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-5820
Practice Address - Country:US
Practice Address - Phone:740-386-6600
Practice Address - Fax:740-386-6602
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0228571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice