Active NPI 1689795148 Individual Practitioner Male Practitioner

Dr. Larry Jason Payne , DMD

Dentist - General Practice • Buford, GA

Professional Overview & Biography Verified Profile Summary

Dr. Larry Payne, DMD is a registered healthcare professional specializing in Dentist - General Practice in Buford, GA. Practice services are available at 4965 FRIENDSHIP RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4965 Friendship Rd
Suite 105

Buford, GA 305181700

Telephone 7706147122

Fax 7706147211

Associated Practice Facility / Clinic

🏢 Hazim A. Farisi Md Pc Facility NPI 1801078001

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Buford, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

34 Specialists

Practicing in Buford, GA (3302 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN012442

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00940783B (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Hazim Farisi , MD

General Practice

NPI 1700938123

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4965 FRIENDSHIP RD, SUITE 105, BUFORD, GA 305181700 (Tel: 7706147122)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4965 FRIENDSHIP RD, SUITE 105, BUFORD, GA 305181700 (Tel: 7706147122)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY PAYNE, D.M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN012442 in GA)

🟢

Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1689795148

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 03, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4965 Friendship Rd, Suite 105

Buford, GA 305181700

Phone: 7706147122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.