# DR. JOHN H PAYNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598838153
- **Gender:** Man
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 4869 | AL | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/31/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 510-60720 | BLUE CROSS BLUE SHILED | AL |
| 01 | — | 515-23254 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 770948 | UNITED CONCORDIA | AL |
