Individual
DR. JONATHAN MACK PAYNE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.S.D.
Contact information
Practice address
6141 SHERRY LN, DALLAS, TX 75225-6302
(214) 691-2614
(214) 691-0814
Mailing address
6141 SHERRY LN, DALLAS, TX 75225-6302
(214) 691-2614
(214) 691-0814
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8706
TX
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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