Provider Demographics
NPI:1891579637
Name:PARAGON DENTAL
Entity Type:Organization
Organization Name:PARAGON DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-831-6692
Mailing Address - Street 1:12590 PERRY HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-1547
Mailing Address - Country:US
Mailing Address - Phone:724-799-8326
Mailing Address - Fax:724-799-8327
Practice Address - Street 1:12590 PERRY HWY STE 100
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-1547
Practice Address - Country:US
Practice Address - Phone:724-799-8326
Practice Address - Fax:724-799-8327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty