Jilissa M Payne, RDH

NPI #1932686987 in Sesser, Illinois

Provider Information

NPI Number: 1932686987
Entity Type: Individual
Name: Jilissa M Payne, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jul 23, 2018
Last Updated: Jul 23, 2018

Practice Location

Address: 6294 STATE HIGHWAY 154
City: Sesser
State: Illinois
ZIP Code: 62884-2163
Phone: (618) 625-6979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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