Individual provider · Type 1 NPI
Jonathan Mack Payne Iii, D.D.S. M.S.D.
Periodontics · Dallas, TX
NPI number
1467552976
Active
Practice location
6141 Sherry Ln
Dallas, TX 75225-6302
Fax (214) 691-0814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 8706 (TX) |
Periodontics: 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 structures and tissues.
Another provider at this address
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About NPI 1467552976
Jonathan Mack Payne Iii, D.D.S. M.S.D.'s National Provider Identifier is 1467552976, issued on Sep 24, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.