| Donald J Payne Dmd Pc | |
|
668 Nw Broad St Lyons GA 30436-0899 | |
| (912) 526-6616 | |
| (912) 526-6616 |
| Full Name | Donald J Payne Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 668 Nw Broad St, Lyons, Georgia |
| Authorized Official Name and Position | Donald J Payne (PRESIDENT) |
| Authorized Official Contact | 9125266616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald J Payne Dmd Pc Po Box 899 Lyons GA 30436-0899 Ph: (912) 526-6616 | Donald J Payne Dmd Pc 668 Nw Broad St Lyons GA 30436-0899 Ph: (912) 526-6616 |
| NPI Number | 1548345036 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548345036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN008209 (Georgia) | Primary |
Smiles P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Oxley Dr, Lyons, GA 30436 Phone: 912-526-9898 |