Provider Demographics
NPI:1023689668
Name:FLOREN, PAIGE (DDS)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:FLOREN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:PETERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:554 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-5382
Mailing Address - Country:US
Mailing Address - Phone:931-537-2254
Mailing Address - Fax:
Practice Address - Street 1:554 W MAIN ST
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-5382
Practice Address - Country:US
Practice Address - Phone:931-537-2254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2025-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN129431223G0001X
WI1002621-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice