Provider Demographics
NPI:1013357847
Name:BOE, PAGE & PAGE DENTAL GROUP PLLC
Entity Type:Organization
Organization Name:BOE, PAGE & PAGE DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:239-263-2122
Mailing Address - Street 1:4953 CASTELLO DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-8927
Mailing Address - Country:US
Mailing Address - Phone:239-263-2122
Mailing Address - Fax:239-262-5856
Practice Address - Street 1:4953 CASTELLO DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8927
Practice Address - Country:US
Practice Address - Phone:239-263-2122
Practice Address - Fax:239-262-5856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty