DR. MALLORY ANNE PAYNE (NPI# 1629636220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629636220 |
| Entity Type | Individual |
| Full Name | DR. MALLORY ANNE PAYNE |
| Credential | DDS |
| Practice Address |
26113 Hoover Rd Warren MI 48089-1147 |
| Mailing Address |
1910 Clifton Ave Royal Oak MI 48073-4182 |
| Practice Telephone | 5863935686 |
| Mailing Telephone | 7345522656 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901023187 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093098899 | Mallory Payne | Occupational Therapist | 2450 Village Professional Dr N, Opelika, AL 36801-4734 | 2011-09-28 |
| Street Address |
26113 HOOVER RD |
| City | WARREN |
| State | MI |
| Zip Code | 48089-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164827796 | D2 Dental of Michigan, P.C. | Dentist | 26113 Hoover Rd, Warren, MI 48089-1147 | 2014-10-24 |
| 1962993568 | Abduljalil Al-hajjaj | Dentist | 26113 Hoover Rd, Warren, MI 48089-1147 | 2018-05-21 |
| 1245758820 | Jayashree Shreeganesh | Dentist | 26113 Hoover Rd, Warren, MI 48089-1147 | 2017-09-05 |
| 1356861447 | Marcena I Gorgaes | Dentist | 26113 Hoover Rd, Warren, MI 48089-1147 | 2017-06-21 |
| 1043694268 | Anthony Thomas Nation | Dentist | 26113 Hoover Rd, Warren, MI 48089-1147 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1053941849 | North Pond Dental Care | Dentist | 2467 Altantic Hwy, Warren, ME 04864 | 2020-01-21 |
| 1063071249 | Unique Smiles Dental | Dentist | 28315 Hoover Rd, Warren, MI 48093-4151 | 2019-06-11 |
| 1467968941 | Brighter Dental Care (warren) | Dentist | 55 Mountain Blvd Ste 205, Warren, NJ 07059-2627 | 2017-12-20 |
| 1821503269 | Tru Dental Michigan II, Pllc | Dentist | 25900 Dequindre Rd, Warren, MI 48091-6107 | 2017-12-07 |
| 1568975126 | Michele M. Tulak-gorecki | Dentist | 1905 Marlow Dr., Warren, MI 48092-2175 | 2017-11-06 |
| 1154770717 | Zachary Scott Colclasure | Dentist | 470 Bennett Dr Ste A, Warren, IN 46792-9273 | 2016-06-05 |
| 1518316173 | Abigail Jayne Colclasure | Dentist | 470 Bennett Dr Ste C, Warren, IN 46792-9273 | 2016-06-05 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1124409313 | Shawn Nguyen | Dentist | 27600 Hoover Rd Ste 1, Warren, MI 48093-7721 | 2015-06-12 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.