Payton, Kevin Lynn

Payton, Kevin Lynn is an individual health care provider with primary practice located at 100 Nw 82Nd Ave Suite 101-102, Plantation FL 33324-7809. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Payton, Kevin Lynn can be contacted via phone (954) 475-9840.

Contact Information

Primary practice address
100 Nw 82Nd Ave Suite 101-102 Plantation FL 33324-7809
Phone: (954) 475-9840
Fax: (954) 370-0500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN11666 Florida

Profile Details

NPI number 1174587315
LBN Legal business name Payton, Kevin Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Apr 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174587315 NPPES
Florida Other 592043705 TAX ID
Florida Other 63054X TAX ID
Florida MEDICAID 072006200 TAX ID

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