Organization
EPPERSON PAYNE DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS LANE EPPERSON DDS (PRESIDENT)
(806) 745-1745
Entity
Organization
Contact information
Practice address
8220 MEMPHIS AVE, LUBBOCK, TX 79423-2612
(806) 745-1745
Mailing address
8220 MEMPHIS AVE, LUBBOCK, TX 79423-2612
(806) 745-1745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
02/24/2022
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