NPI 1336383207

Traci Michelle Payne, RDH

Practitioner Dental Hygienist Council Bluffs, IA

Practice location

Address: 300 W Broadway Suite 6, Council Bluffs, IA 51503-9078
Phone: (712) 256-9151
Fax: (712) 325-0288

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 03217 (IA)

Other Dental Hygienist providers in Iowa →

Registry record

NPI: 1336383207
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2009
Record last updated: 23 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.