Dr. Jacqueline Morgan Payne, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1154932150
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1154932150
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacqueline Morgan Payne
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 103919 | CA | Yes |
Practice location
1820 Sonoma Ave Ste 36Santa Rosa, CA 95405-6617
Phone 707-546-5234
Mailing address
1820 Sonoma Ave Ste 36Santa Rosa, CA 95405-6617
Phone 707-546-5234
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All 26 Orthodontics and Dentofacial Orthopedics Dentistry providers in Santa Rosa · All 8,142 providers in Santa Rosa
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