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Brandon C. Payne D.d.s., M.d., P.c.
Oral and Maxillofacial Surgery (Dentist) in Pueblo, Colorado
NPI 1790993376

Brandon C. Payne D.d.s., M.d., P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Pueblo, CO and is specialized in Oral and Maxillofacial Surgery. Brandon C. Payne D.d.s., M.d., P.c. practices in Pueblo, CO. The NPI Number for Brandon C. Payne D.d.s., M.d., P.c. is 1790993376 and holds a License No. 10136 (Colorado).

The current practice location address for Brandon C. Payne D.d.s., M.d., P.c. is 4728 Eagleridge Cir Ste 110, Pueblo, CO and can be reached out via phone at 719-542-4546 and via fax at 719-542-4548.

Location: 4728 Eagleridge Cir Ste 110, Pueblo, CO, 81008-2196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790993376
Provider Name
Brandon C. Payne D.d.s., M.d., P.c.
Credential
Provider Entity Type
Organization
Address
4728 Eagleridge Cir Ste 110, Pueblo, CO, 81008-2196
Phone Number
719-542-4546
Fax Number
719-542-4548
Provider Enumeration Date
05/18/2007
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33987220 05 CO
institution
Provider Business Practice Location Address Details
Address
4728 Eagleridge Cir Ste 110
City
Pueblo
State
Colorado
Zip
81008-2196
Phone Number
719-542-4546
Fax Number
719-542-4548
person
Provider Business Mailing Address Details
Address
4728 Eagleridge Cir Ste 110
City
Pueblo
State
Colorado
Zip
81008-2196
Phone Number
719-542-4546
Fax Number
719-542-4548
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
10136 (Colorado)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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