Payne, Peter
Payne, Peter is an sole proprietor health care provider with primary practice located at 151 Waterman St , Providence RI 02906-2118. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Payne, Peter can be contacted via phone (401) 273-6161.Contact Information
Primary practice address
151 Waterman St
Providence RI 02906-2118
Phone: (401) 273-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DEN01816 | Rhode Island |
| Dental Providers / Periodontics | 1223P0300X | 13148 | Massachusetts |
Profile Details
| NPI number | 1699828640 |
|---|---|
| LBN Legal business name | Payne, Peter |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699828640 | NPPES |
| Rhode Island | Other | 8404-6 | BLUE CROSS DENTAL |
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