Provider Demographics
NPI:1508895038
Name:PAYOR, LOUIS G (DDS)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:G
Last Name:PAYOR
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1573 W FAIRBANKS AVE
Mailing Address - Street 2:SUITE #300
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4679
Mailing Address - Country:US
Mailing Address - Phone:407-644-0224
Mailing Address - Fax:407-644-2827
Practice Address - Street 1:100 LUCERNE TERRACE
Practice Address - Street 2:SUITE #100
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1050
Practice Address - Country:US
Practice Address - Phone:407-843-1670
Practice Address - Fax:407-841-1827
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2013-12-12
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Provider Licenses
StateLicense IDTaxonomies
FLDN00061001223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL85168Medicare PIN
FLT94767Medicare UPIN