Provider Demographics
NPI:1306066238
Name:JOE A. PAGET, JR. DDS LTD
Entity type:Organization
Organization Name:JOE A. PAGET, JR. DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAGET
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-951-9100
Mailing Address - Street 1:100 PROFESSIONAL PARK DR SE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6665
Mailing Address - Country:US
Mailing Address - Phone:540-951-9100
Mailing Address - Fax:540-953-3148
Practice Address - Street 1:100 PROFESSIONAL PARK DR SE
Practice Address - Street 2:SUITE #2
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6665
Practice Address - Country:US
Practice Address - Phone:540-951-9100
Practice Address - Fax:540-953-3148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5420261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental