Individual
DR. GLENN MORRIS PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1760 RUFE SNOW DR, KELLER, TX 76248-5628
(817) 498-3889
(817) 281-2810
Mailing address
1760 RUFE SNOW DR, KELLER, TX 76248-5628
(817) 498-3889
(817) 498-3889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14675
TX
1223G0001X
General Practice Dentistry
14675
TX
Other
Enumeration date
11/13/2006
Last updated
07/12/2022
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