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Individual

DR. JOHN H PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2600 BELL RD, MONTGOMERY, AL 36117-4375
(334) 277-6690
(334) 277-6690
Mailing address
1701 ST ELIZABETH SQ, MONTGOMERY, AL 36117-4390
(334) 277-6690
(334) 277-6721

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4869
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-60720
BLUE CROSS BLUE SHILED
AL
01
515-23254
BLUE CROSS BLUE SHIELD
AL
01
770948
UNITED CONCORDIA
AL
Enumeration date
11/15/2006
Last updated
08/31/2015
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