| Dr Brandon C Payne, DDS, MD | |
|
4728 Eagleridge Cir Ste 110, Pueblo, CO 81008-2196 | |
| (719) 542-4546 | |
| (719) 542-4548 |
| Full Name | Dr Brandon C Payne |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4728 Eagleridge Cir Ste 110, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285772301 | NPI | - | NPPES |
| 33987220 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10136 (Colorado) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 50000 (Colorado) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon C Payne, DDS, MD 4728 Eagleridge Cir Ste 110, Pueblo, CO 81008-2196 Ph: (719) 542-4546 | Dr Brandon C Payne, DDS, MD 4728 Eagleridge Cir Ste 110, Pueblo, CO 81008-2196 Ph: (719) 542-4546 |
Dr. Ricardo Sosa Silva, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 729 W Us Highway 50, Pueblo, CO 81008 Phone: 719-542-4000 | |
Dr. Joseph P Zufall, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1930 E Orman Ave, Pueblo, CO 81004 Phone: 719-564-2842 | |
Jair Flores, Dentist Medicare: Not Enrolled in Medicare Practice Location: 24 Club Manor Dr Ste 202, Pueblo, CO 81008 Phone: 719-406-2078 | |
Dr. James Allen Bergles, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1560 Bonforte Blvd, Pueblo, CO 81001 Phone: 719-544-5340 Fax: 719-583-2206 | |
Dr. Mun J. Choi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2030 Lake Ave, Pueblo, CO 81004 Phone: 719-564-4823 Fax: 719-564-4858 | |
Dr. Tony Leon Roberts, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 517 W 5th St, Ste 106, Pueblo, CO 81003 Phone: 719-542-6014 Fax: 719-583-7937 | |
Michael Anthony Derose, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1022 Liberty Ln, Pueblo, CO 81001 Phone: 719-545-5778 |