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BRANDON C. PAYNE D.D.S., M.D., P.C.
NPI 1790993376
Dentist - Oral and Maxillofacial Surgery in Pueblo, CO

Active since May 18, 2007
4728 EAGLERIDGE CIR STE 110, PUEBLO, CO 81008(719) 542-4546(719) 542-4548 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2024, Mar 9, 2021 (2 updates tracked since 2021).

About Brandon C. Payne D.d.s., M.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON C. PAYNE D.D.S., M.D., P.C. (NPI 1790993376) is a healthcare organization registered as an oral and maxillofacial surgery in Pueblo, Colorado and active in the NPI registry since May 2007. The organization lists Brandon C Payne, President, as its authorized official.

NPPES Registry Identity

NPI1790993376
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBRANDON C. PAYNE D.D.S., M.D., P.C.
Location Address4728 EAGLERIDGE CIR STE 110Pueblo, CO 81008-2196
Mailing Address4728 Eagleridge Cir Ste 110Pueblo, CO 81008-2196 · (719) 542-4546 · Fax (719) 542-4548
Phone(719) 542-4546
Fax(719) 542-4548
Organization SubpartNo
Authorized OfficialBrandon C PaynePresident · (719) 542-4546
Enumeration DateMay 18, 2007
Last NPPES UpdateNovember 10, 20242 updates tracked since enumeration
NPPES CertifiedNovember 10, 2024
✔ NPI 1790993376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CO · 10136
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4728 EAGLERIDGE CIR STE 110, Pueblo, CO 81008
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Other Identifiers 1

Medicaid33987220CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRANDON C PAYNE D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
4728 EAGLERIDGE CIR STE 110
PUEBLO, CO 81008
Pueblo County (719) 542-4546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon C. Payne D.D.S., M.D., P.C.'s NPI number?

The NPI number for Brandon C. Payne D.D.S., M.D., P.C. is 1790993376. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Brandon C. Payne D.D.S., M.D., P.C. located?

Brandon C. Payne D.D.S., M.D., P.C. is located at 4728 Eagleridge Cir Ste 110, Pueblo, CO 81008. The listed phone number is (719) 542-4546.

What is Brandon C. Payne D.D.S., M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Brandon C. Payne D.D.S., M.D., P.C. accept?

Health plans from UnitedHealthcare list Brandon C. Payne D.D.S., M.D., P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon C. Payne D.D.S., M.D., P.C. was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.