Individual
DR. JEFFREY BRUCE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40TH AND HOLDREGE STREETS, ROOM 137, LINCOLN, NE 68583-0740
(402) 472-8900
(402) 472-0048
Mailing address
40TH AND HOLDREGE STREETS, UNIVERSITY DENTAL ASSOCIATES, LINCOLN, NE 68583-0740
(402) 472-8900
(402) 472-0048
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5764
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5850
BCBS
NE
Enumeration date
10/17/2006
Last updated
01/18/2008
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