Individual
DR. JEFFREY CHRISTOPHER PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
756 PORTER AVE, SUITE 400, STOCKTON, CA 95207-4232
(209) 951-6387
(209) 951-2824
Mailing address
756 PORTER AVE, SUITE 400, STOCKTON, CA 95207-4232
(209) 951-6387
(209) 951-2824
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
46419
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A89128
CA
Other
Enumeration date
06/13/2006
Last updated
02/23/2015
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