Jeffrey Bruce Payne in Lincoln - Periodontics

Jeffrey Bruce Payne - NPI 1508947516

Jeffrey Bruce Payne is a Periodontics in Lincoln, Nebraska. Jeffrey Bruce Payne practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeffrey Bruce Payne is 1508947516. The last update date is 2008-01-18.

Jeffrey Bruce Payne's current location address is 40th And Holdrege Streets, Lincoln, Nebraska. You can contact this provider via phone number 4024728900 and fax number 4024720048. The mailing address for Jeffrey Bruce Payne is 40th And Holdrege Streets, Lincoln, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Bruce Payne
Address 40th And Holdrege Streets, Lincoln, Nebraska
Phone Number 4024728900
Fax Number 4024720048
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1508947516
Provider Enumeration Date 2006-10-17
Last Updated Date 2008-01-18

Provider Mailing Address Detail

Address 40th And Holdrege Streets
City Lincoln
State Nebraska (NE)
Post Code 685830740
Phone Number 4024728900
Fax Number 4024720048

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 5764
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5850 NE BCBS

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FAQs about Jeffrey Bruce Payne

What is the unique identification code assigned to Jeffrey Bruce Payne by the Centers for Medicare & Medicaid Services?

The Jeffrey Bruce Payne has been issued the NPI (National Provider Identifier) 1508947516. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jeffrey Bruce Payne is located?

The Jeffrey Bruce Payne is situated at the following address: 40Th And Holdrege Streets, Lincoln, NE, 685830740.

What is Jeffrey Bruce Payne's area of expertise and its corresponding taxonomy classification?

The Jeffrey Bruce Payne's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

On what date did Jeffrey Bruce Payne receive its 1508947516 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey Bruce Payne was assigned its 1508947516 on 2006-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jeffrey Bruce Payne last refreshed?

The information related to the Jeffrey Bruce Payne, including its address, specialty, and other relevant details, was last updated on 2008-01-18.

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