DR. John Wesley Payne II, D.D.S.

NPI #1225047806 in Portland, Maine

Provider Information

NPI Number: 1225047806
Entity Type: Individual
Name: DR. John Wesley Payne II, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Prosthodontics
Credential: D.D.S.
Enumeration Date: Aug 5, 2006
Last Updated: Feb 22, 2018

Practice Location

Address: 716 STEVENS AVE
City: Portland
State: Maine
ZIP Code: 04103-2656
Phone: (207) 221-4756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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