MEDICARE: DR. PAIGE ELIZABETH VANDELINDER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6002208	WI

General Provider Information

NPI Number	:	1134052426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAIGE ELIZABETH VANDELINDER DDS

Provider Business Mailing Address
First Line	:	840 ELEMENT WAY UNIT 425
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54304-4640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1052 BEL AIRE CT BAY WI54304
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54304-5014
Country	:	US
Telephone Number	:	920-504-2862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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