Healthcare Provider Details

I. General information

NPI: 1326905902
Provider Name (Legal Business Name): PAIGE HARRIS RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14581 FOX CHASE CIR
RIDGELY MD
21660-1424
US

IV. Provider business mailing address

14581 FOX CHASE CIR
RIDGELY MD
21660-1424
US

V. Phone/Fax

Practice location:
  • Phone: 443-521-9745
  • Fax:
Mailing address:
  • Phone: 443-521-9745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number9136
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: