Individual
CHRISTOPHER ADAM PAYNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4821 RIVERSIDE DR, DANVILLE, VA 24541-5537
(434) 822-0500
(434) 822-1330
Mailing address
123 ROBINWOOD PL, DANVILLE, VA 24540-1283
(434) 836-3103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410725
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018132
DORAL
VA
01
—
463688
BLUE CROSS BLUE SHIELD
VA
Enumeration date
07/28/2005
Last updated
07/09/2007
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