| Bunch-payne, Oral And Maxillofacial Surgery | |
|
756 Porter Ave Suite 400 Stockton CA 95207-4232 | |
| (209) 951-6387 | |
| (209) 951-2824 |
| Full Name | Bunch-payne, Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 756 Porter Ave, Stockton, California |
| Authorized Official Name and Position | Fred L Bunch (PARTNER) |
| Authorized Official Contact | 2099516387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bunch-payne, Oral And Maxillofacial Surgery 756 Porter Ave Suite 400 Stockton CA 95207-4232 Ph: (209) 951-6387 | Bunch-payne, Oral And Maxillofacial Surgery 756 Porter Ave Suite 400 Stockton CA 95207-4232 Ph: (209) 951-6387 |
| NPI Number | 1699818872 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 09/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699818872 | NPI | - | NPPES |
| D46419 | Other | CA | DENTI-CAL DR PAYNE |
| D21974 | Other | CA | DENTI-CAL DR BUNCH |
| DK858Z | Other | CA | PTAN - FRED BUNCH DDS |
| DK863Z | Other | CA | PTAN - JEFFREY PAYNE DDS |
| DK845A | Other | CA | PTAN - BUNCH-PAYNE OMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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