Organization
DONALD J PAYNE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J PAYNE DMD (PRESIDENT)
(912) 526-6616
Entity
Organization
Contact information
Practice address
668 NW BROAD ST, LYONS, GA 30436-0899
(912) 526-6616
(912) 526-6616
Mailing address
PO BOX 899, LYONS, GA 30436-0899
(912) 526-6616
(912) 526-6616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008209
GA
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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