Brandon C. Payne D.D.S., M.D., P.C.

LBN: Brandon C. Payne D.D.S., M.D., P.C.
Brandon C. Payne D.D.S., M.D., P.C. is an health care organization with primary practice located at 4728 Eagleridge Cir Ste 110 , Pueblo CO 81008-2196. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Brandon C. Payne D.D.S., M.D., P.C. can be contacted via phone (719) 542-4546, or through Payne, Brandon C via phone (719) 542-4546.

Contact Information

Primary practice address
4728 Eagleridge Cir Ste 110 Pueblo CO 81008-2196
Phone: (719) 542-4546
Fax: (719) 542-4548
Website:
Map and Directions
Authorized official contact:
Name: Payne, Brandon C MD, DDS
Phone: (719) 542-4546

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10136 Colorado

Profile Details

NPI number 1790993376
LBN Legal business name Brandon C. Payne D.D.S., M.D., P.C.
DBA Doing business as
Authorized official Payne, Brandon C MD, DDS
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Mar 9th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790993376 NPPES
Colorado MEDICAID 33987220

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