Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396090874 Individual Practitioner Male Practitioner

Dr. Mark Joshua Payne , DMD

Dentist - General Practice • Issaquah, WA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Payne, DMD is a registered healthcare professional specializing in Dentist - General Practice in Issaquah, WA. Practice services are available at 22500 SE 64TH PL STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22500 Se 64th Pl Ste 120

Issaquah, WA 980278111

Telephone 4253910484
Fax 4253914002
Associated Practice Facility / Clinic
🏢 Mark Joshua Payne, Dmd, Pllc Facility NPI 1780385955

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Issaquah, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
33 Specialists

Practicing in Issaquah, WA (3345 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

CMS Verified: 2023-11-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60790084

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Robert Jorgensen , DDS

Dentist - General Practice

NPI 1275654469

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 28, 2023

Registered at 22500 SE 64TH PL STE 120, ISSAQUAH, WA 980278111 (Tel: 4253910484)

📍
Updated Business Mailing Address November 28, 2023

Registered at 22500 SE 64TH PL STE 120, ISSAQUAH, WA 980278111 (Tel: 4253910484)

NPI Profile Active October 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2017

Registered at 3943 116TH ST NE STE 103, MARYSVILLE, WA 982718448 (Tel: 3606519580)

📍
Updated Business Mailing Address October 23, 2017

Registered at 3943 116TH ST NE STE 103, MARYSVILLE, WA 982718448 (Tel: 3606519580)

👤
Provider Name / Credentials Updated October 23, 2017

Recorded as MARK PAYNE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2017

Dentist (License #DE60790084 in WA)

NPI Profile Active October 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2012

Registered at 4996 S POWER RD, MESA, AZ 852123602 (Tel: 4808043600)

📍
Updated Business Mailing Address October 03, 2012

Registered at 1550 E CAMPBELL AVE, APT 4018, PHOENIX, AZ 850144252 (Tel: 4808095731)

👤
Provider Name / Credentials Updated October 03, 2012

Recorded as MARK PAYNE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2012

Dentist (License #D008516 in AZ)

🟢
Initial NPI Registration & Enumeration July 19, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396090874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2012
Last Update: November 28, 2023
Sole Proprietor: No

Mailing Address

22500 Se 64th Pl Ste 120

Issaquah, WA 980278111

Phone: 4253910484

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.