Individual
DR. DERRICK D. PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4466 ELVIS PRESLEY BLVD, 241, MEMPHIS, TN 38116-7180
(901) 396-7097
(901) 396-8214
Mailing address
4466 ELVIS PRESLEY BLVD, 241, MEMPHIS, TN 38116-7180
(901) 396-7097
(901) 396-8214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS7858
TN
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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