Individual provider · Type 1 NPI

Brandon C. Payne, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Pueblo, CO

NPI number 1285772301 Active

Practice location

4728 Eagleridge Cir Ste 110
Pueblo, CO 81008-2196

Fax (719) 542-4548

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X10136 (CO)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X50000 (CO)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1285772301

Brandon C. Payne, DDS, MD's National Provider Identifier is 1285772301, issued on Feb 1, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pueblo, CO. The record was last updated on Nov 10, 2024.