LARRY G PAYNE DDS LC NPI 1255884425

NPI Information

  • NPI: 1255884425
  • Provider Name: LARRY G PAYNE DDS LC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: WATERLOO FAMILY DENTISTRY
  • Address: 605 S WAYNE ST
    WATERLOO, IN
    ZIP 46793
  • Phone: (260) 837-2138

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NPI Details

LARRY G PAYNE DDS LC is a general practice dentist in Waterloo, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LARRY G PAYNE DDS LC NPI is 1255884425. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Waterloo Family Dentistry.

The provider's business location address is:

605 S WAYNE ST
WATERLOO, IN
ZIP 46793-472
Phone: (260) 837-2138
Fax: (260) 837-7481

The provider's authorized official is Dianna J Payne .
The authorized official title is Vice President/ Office Manager and has the following contact phone number (260) 837-2138.

The enumeration date for this NPI number is 7/25/2016 and was last updated on 7/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistNo
21223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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