Provider Demographics
NPI:1851406086
Name:PAUL, VALERIE EVE (DMD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:EVE
Last Name:PAUL
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 1:1623 UNION AVE # D
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-2136
Mailing Address - Country:US
Mailing Address - Phone:724-224-3818
Mailing Address - Fax:
Practice Address - Street 1:1623D UNION AVENUE
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-2136
Practice Address - Country:US
Practice Address - Phone:724-224-3818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022569L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA022137OtherUNITED CONCORDIA
PA80209OtherUNISON MED PLUS