Individual
WILLIAM MARVIN PAYNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1325 E 1ST ST, MCPHERSON, KS 67460-3601
(620) 241-0266
(620) 241-6061
Mailing address
PO BOX 964, MCPHERSON, KS 67460-0964
(620) 241-0266
(620) 241-6061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5563
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5563
LISCENSE NUMBER
KS
01
—
888167
UNITED CONCORIDA PROVIDER
KS
01
—
8998
BCBS PROVIDER NUMBER
KS
Enumeration date
02/22/2006
Last updated
07/08/2007
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