Provider Demographics
NPI:1184610057
Name:HOLBERT, PAIGE TURNER (DDS)
Entity type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:TURNER
Last Name:HOLBERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ELLISON
Other - Middle Name:PAIGE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1612 HUGUENOT RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113
Mailing Address - Country:US
Mailing Address - Phone:804-794-9789
Mailing Address - Fax:804-419-1059
Practice Address - Street 1:14001 CHARTER PARK DR.
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114
Practice Address - Country:US
Practice Address - Phone:804-379-1011
Practice Address - Fax:804-417-0259
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014122831223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics