Organization
PAUL B PAYNE SPECIAL CARE DENTAL OF TENNESSEE PL
Active
Other names
Special Care Dental of Tennessee LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PAYNE DDS (OWNER)
(502) 244-2441
Entity
Organization
Contact information
Practice address
409 PARK AVE, ADAMSVILLE, TN 38310-2461
(502) 244-2441
(502) 254-4069
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 254-4069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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