Provider Demographics
NPI:1952605388
Name:PAIGE R. LESTER, DDS, P.C.
Entity Type:Organization
Organization Name:PAIGE R. LESTER, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:205-991-9535
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL52491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty