Brian William Payne in Santa Rosa - Orthodontics And Dentofacial Orthopedics
Brian William Payne - NPI 1023013398
Brian William Payne is a Orthodontics And Dentofacial Orthopedics in Santa Rosa, California. Brian William Payne practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brian William Payne is 1023013398. The last update date is 2007-07-08.
Brian William Payne's current location address is 36 Doctors Park Dr, Santa Rosa, California. You can contact this provider via phone number 7075465234 and fax number 7075463928. The mailing address for Brian William Payne is 36 Doctors Park Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brian William Payne |
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Address | 36 Doctors Park Dr, Santa Rosa, California |
Phone Number | 7075465234 |
Fax Number | 7075463928 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1023013398 |
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Provider Enumeration Date | 2005-06-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 36 Doctors Park Dr |
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City | Santa Rosa |
State | California (CA) |
Post Code | 9540566150 |
Phone Number | 7075465234 |
Fax Number | 7075463928 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 34754 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Brian William Payne by the Centers for Medicare & Medicaid Services?
The Brian William Payne has been issued the NPI (National Provider Identifier) 1023013398. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brian William Payne's facilities are situated?
The facilities of Brian William Payne are physically located at the following address: 36 Doctors Park Dr, Santa Rosa, CA, 9540566150.
What is Brian William Payne's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian William Payne's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023013398 to Brian William Payne?
The Brian William Payne received its 1023013398 assignment from the Centers for Medicare & Medicaid Services on 2005-06-14.
As of what date were the Brian William Payne's details last updated?
The information pertaining to the Brian William Payne, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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