Provider Demographics
NPI:1801632617
Name:WHITE, PAIGE ELIZABETH (DDS)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:ELIZABETH
Last Name:WHITE
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 ENTRIKEN CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:JAMES CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:16657-8648
Mailing Address - Country:US
Mailing Address - Phone:814-502-1401
Mailing Address - Fax:
Practice Address - Street 1:626 WATER ST STE 2
Practice Address - Street 2:
Practice Address - City:ORBISONIA
Practice Address - State:PA
Practice Address - Zip Code:17243-9432
Practice Address - Country:US
Practice Address - Phone:814-447-3159
Practice Address - Fax:814-447-3195
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS044754122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist