OrganizationActive
Brandon C. Payne D.D.S., M.D., P.C.
NPI 1790993376 · Oral and Maxillofacial Surgery (Dentist) · Pueblo, CO
Provider details
- NPI number
- 1790993376
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Brandon Payne, President(719) 542-4546
- License
- 10136 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4728 Eagleridge Cir Ste 110
Pueblo, CO 81008-2196
Phone: (719) 542-4546
Fax: (719) 542-4548
Street-level locationGet directions
Mailing address
4728 Eagleridge Cir Ste 110
Pueblo, CO 81008-2196
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2024-11-10
- Certified
- 2024-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.