Provider Demographics
NPI:1952313090
Name:NANCE, PAIGE E (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:E
Last Name:NANCE
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 1:1400 WALTER REED RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4409
Mailing Address - Country:US
Mailing Address - Phone:910-864-9884
Mailing Address - Fax:
Practice Address - Street 1:1400 WALTER REED RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4409
Practice Address - Country:US
Practice Address - Phone:910-864-9884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7156122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist