Individual
DR. JOHN WESLEY PAYNE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4756
Mailing address
1501 W CANADA VERDE DR, TUCSON, AZ 85704-8305
(740) 485-1531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008321
AZ
1223G0001X
General Practice Dentistry
30018265
OH
1223P0700X
Prosthodontics
Primary
DEN4608
ME
Other
Enumeration date
08/05/2006
Last updated
02/22/2018
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