Robert Craig Payne in Grand Rapids - Pediatric Dentistry

Robert Craig Payne - NPI 1164462198

Robert Craig Payne is a Pediatric Dentistry in Grand Rapids, Michigan. Robert Craig Payne practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Robert Craig Payne is 1164462198. The last update date is 2007-07-08.

Robert Craig Payne's current location address is 2093 Stickley Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169495185 and fax number 6169420170. The mailing address for Robert Craig Payne is 2093 Stickley Dr Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Craig Payne
Address 2093 Stickley Dr Se, Grand Rapids, Michigan
Phone Number 6169495185
Fax Number 6169420170
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1164462198
Provider Enumeration Date 2006-06-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2093 Stickley Dr Se
City Grand Rapids
State Michigan (MI)
Post Code 495466490
Phone Number 6169495185
Fax Number 6169420170

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 10354
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Robert Craig Payne

What is the Robert Craig Payne's unique identification number?

The Robert Craig Payne has been assigned the NPI (National Provider Identifier) Number 1164462198 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Robert Craig Payne is physically located?

The Robert Craig Payne is physically situated at the following address: 2093 Stickley Dr Se, Grand Rapids, MI, 495466490.

What is Robert Craig Payne's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Robert Craig Payne is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

On what date did the Robert Craig Payne receive its 1164462198 assignment from the Centers for Medicare & Medicaid Services?

The Robert Craig Payne was assigned its 1164462198 by the Centers for Medicare & Medicaid Services on 2006-06-07.

As of what date was the information regarding Robert Craig Payne, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Robert Craig Payne, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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