Provider Demographics
NPI:1275378705
Name:SAVAGE, PAUL C III (DMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:SAVAGE
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SCHOONER LN
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-3840
Mailing Address - Country:US
Mailing Address - Phone:662-934-0991
Mailing Address - Fax:
Practice Address - Street 1:102965 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-4690
Practice Address - Country:US
Practice Address - Phone:305-451-2616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN29243122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist