Healthcare Provider Details

I. General information

NPI: 1154911477
Provider Name (Legal Business Name): PAIGE ELIZABETH RIMBACH RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 REISTERSTOWN RD
OWINGS MILLS MD
21117-1812
US

IV. Provider business mailing address

2052 DEER PARK RD
FINKSBURG MD
21048-2127
US

V. Phone/Fax

Practice location:
  • Phone: 410-356-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: