Individual
PAUL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
425 CUMBERLAND ST, CHATTANOOGA, TN 37404-1909
(423) 322-6968
Mailing address
PO BOX 22085, CHATTANOOGA, TN 37422-2085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS4884
TN
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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