Jmj Nampa LLC

NPI #1154805786 in Nampa, Idaho

Provider Information

NPI Number
1154805786
Entity Type
Organization
Organization Name
Jmj Nampa LLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Sep 19, 2018
Last Updated
May 8, 2020

Practice Location

Address
914 12TH AVE RD
City
Nampa
State
Idaho
ZIP Code
83686
Phone
(208) 468-9191

Authorized Official

Name
DR. MICHAEL PAYNE D. PAYNE, DMD
Title
PRESIDENT
Phone
(208) 884-4466

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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Organizations

Provider Name
Jmj Practice Holdings, LLC

Part of Jmj Holding LLC

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