Susan Payne Dds | |
2381 S 32nd Street Abilene TX 79605-7029 | |
(325) 682-9191 | |
Not Available |
Full Name | Susan Payne Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 2381 S 32nd Street, Abilene, Texas |
Authorized Official Name and Position | Susan Payne (OWNER) |
Authorized Official Contact | 3256729191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan Payne Dds 2381 S 32nd Street Abilene TX 79605-7029 Ph: (325) 682-9191 | Susan Payne Dds 2381 S 32nd Street Abilene TX 79605-7029 Ph: (325) 682-9191 |
NPI Number | 1639459076 |
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Provider Enumeration Date | 08/17/2011 |
Last Update Date | 08/17/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639459076 | NPI | - | NPPES |
0093445-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 18786 (Texas) | Primary |
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