DR. Derrick D. Payne, DDS

NPI #1144211947 in Memphis, Tennessee

Provider Information

NPI Number
1144211947
Entity Type
Individual
Name
DR. Derrick D. Payne, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 31, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
4466 ELVIS PRESLEY BLVD
Address 2
241
ZIP Code
38116-7180
Phone
(901) 396-7097

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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