Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon C. Payne DDS, MD, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1790993376

Brandon C. Payne DDS, MD, PC is an Oral and Maxillofacial Surgery (Dentist) in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4728 Eagleridge Cir Ste 110
Pueblo, CO 81008-2196
Phone: (719) 542-4546
Fax: (719) 542-4548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 10136 (CO)

Record details

NPI number1790993376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Payne — President · (719) 542-4546
NPI enumeratedMay 18, 2007
Last updated in NPPESNovember 10, 2024
Certification dateNovember 10, 2024
Mailing address4728 Eagleridge Cir Ste 110, Pueblo, CO 81008-2196

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