Provider Demographics
NPI:1457365611
Name:LESTER, PAIGE REYNOLDS (DDS)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:REYNOLDS
Last Name:LESTER
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 1:100 HEATHERBROOKE PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8093
Mailing Address - Country:US
Mailing Address - Phone:205-991-9535
Mailing Address - Fax:205-991-9657
Practice Address - Street 1:100 HEATHERBROOKE PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8093
Practice Address - Country:US
Practice Address - Phone:205-991-9535
Practice Address - Fax:205-991-9657
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL52491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice