Ryan Steven Payne, | |
4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | |
(719) 526-5537 | |
(706) 787-2082 |
Full Name | Ryan Steven Payne |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4th & Inner Loop Road, Fort Irwin, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073999777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D-4656 (Idaho) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | S2-167C (Nevada) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ryan Steven Payne, 4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Ph: (760) 383-5289 | Ryan Steven Payne, 4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Ph: (719) 526-5537 |
Dr. Stephanie Chung Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Road, Fort Irwin, CA 92310 Phone: 760-380-3166 | |
Dr. Brent Wayne Clark, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 390 North Loop Rd., Fort Irwin, CA 92310 Phone: 760-383-5289 | |
Dr. Joshua Hyungkyu Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4th And Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Phone: 719-526-5537 | |
Dr. Yong Soo Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3166 | |
Dustin Tyler Nygard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg, 390 N Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3166 | |
Dr. Sergio Hernandez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3173 |