Organization
MICHAEL D PAYNE DMD PC
Active
Other names
Orthodontics at Bridgetower
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SPINKS (REVENUE OPTIMIZATION ANALYST)
(541) 508-5946
Entity
Organization
Contact information
Practice address
3289 N TOWERBRIDGE WAY, MERIDIAN, ID 83646-8347
(208) 884-4466
Mailing address
3289 N TOWERBRIDGE WAY, MERIDIAN, ID 83646-8347
(208) 884-4466
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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