Individual provider · Type 1 NPI

Brian William Payne, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Santa Rosa, CA

NPI number 1023013398 Active

Practice location

36 Doctors Park Dr
Santa Rosa, CA 95405-6615

Fax (707) 546-3928

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	34754 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1023013398

Brian William Payne, DDS's National Provider Identifier is 1023013398, issued on Jun 14, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.