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NPI Code Detail

MEDICARE: DEMI LA-NAY PAGE DDS

MEDICARE: DEMI LA-NAY PAGE 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
1390200000XStudent in an Organized Health Care Education/Training Program22DI03151200NJ

General Provider Information

NPI Number : 1356293989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMI LA-NAY PAGE DDS
Provider Business Mailing Address
First Line : 150 BERGEN ST
Second Line :
City : NEWARK
State : NJ
Zip : 07103-2496
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 BERGEN ST
Second Line :
City : NEWARK
State : NJ
Zip : 07103-2496
Country : US
Telephone Number : 973-972-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2026
Last Update Date : 06/11/2026

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Directions to “ DEMI LA-NAY PAGE DDS” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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