Individual
DR. NICHOLAS BENJAMIN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
120 E FAYETTE ST, MANCHESTER, IA 52057-1705
(563) 927-4746
Mailing address
120 E FAYETTE ST, MANCHESTER, IA 52057-1705
(563) 927-4746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08532
IA
122300000X
Dentist
5876
WI
Other
Enumeration date
10/17/2005
Last updated
05/19/2008
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