Paige L Patterson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123055 Issued in GA

Practice address

210 Trilith Pkwy Ste 120
Fayetteville, GA 30214-4615

Phone

(678) 799-9810

NPI assigned

Sep 7, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Paige L Epps Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1346768538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TRILITH PKWY STE 120",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144615",
            "telephone_number": "678-799-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TRILITH PKWY STE 120",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144615",
            "telephone_number": "678-799-9810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6307 Burlington Rd",
            "address_purpose": "LOCATION",
            "city": "Whitsett",
            "state": "NC",
            "postal_code": "273779265",
            "country_code": "US",
            "telephone_number": "336-201-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Trilith Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144615",
            "country_code": "US",
            "telephone_number": "678-799-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PAIGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123055",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "EPPS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Viral Mainak Patel, MD
• Mukul Vasant Patharkar, M.D.
• Shakita Nicole Patrick, BS, RBT
• Lameka Nicole Patterson-Bentjen, CNP
• Kaiheem D Patterson, BSN RN
• Pamela Patterson, PTA
• Sha'Quana Patton
• Karen Paul
• Kayode Paul
• Paulk Chiropractic-Fayettevill Inc.

• General Practice Dentistry in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.