Brandon C Payne in Pueblo - Oral And Maxillofacial Surgery
Brandon C Payne - NPI 1285772301
Brandon C Payne is a Oral And Maxillofacial Surgery in Pueblo, Colorado. Brandon C Payne practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Brandon C Payne is 1285772301. The last update date is 2017-01-18.
Brandon C Payne's current location address is 4728 Eagleridge Cir Ste 110, Pueblo, Colorado. You can contact this provider via phone number 7195424546 and fax number 7195424548. The mailing address for Brandon C Payne is 4728 Eagleridge Cir Ste 110, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brandon C Payne |
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Address | 4728 Eagleridge Cir Ste 110, Pueblo, Colorado |
Phone Number | 7195424546 |
Fax Number | 7195424548 |
Sole Proprietor | Y |
Credentials | D.D.S., M. |
NPI Number Detail
NPI Number | 1285772301 |
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Provider Enumeration Date | 2007-02-01 |
Last Updated Date | 2017-01-18 |
Provider Mailing Address Detail
Address | 4728 Eagleridge Cir Ste 110 |
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City | Pueblo |
State | Colorado (CO) |
Post Code | 810082196 |
Phone Number | 7195424546 |
Fax Number | 7195424548 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 10136 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
33987220 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brandon C Payne by the Centers for Medicare & Medicaid Services (CMS)?
The Brandon C Payne has been assigned the NPI (National Provider Identifier) 1285772301. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Brandon C Payne located?
The Brandon C Payne is located at 4728 Eagleridge Cir Ste 110, Pueblo, CO 810082196.
What is the Brandon C Payne's area of specialization and corresponding taxonomy classification?
The Brandon C Payne's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date was the 1285772301 assigned to Brandon C Payne?
The Brandon C Payne was issued its 1285772301 on 2007-02-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Brandon C Payne, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brandon C Payne, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-01-18.
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