Mr. Jackson Lee Payne Ii is a Memphis, Tennessee based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Jackson Lee Payne Ii is
DS5420 for Dentistry in Tennessee. His current practice location is
3574 Hickory Hill Road, Memphis. Patients can reach him at
901-365-9054.
Mr. Jackson Lee Payne Ii is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Jackson Lee Payne Ii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Jackson Lee Payne Ii |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3574 Hickory Hill Road, Memphis,
Tennessee, 38115 |
| Phone: | 901-365-9054 |
| Fax: | 901-365-1159 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1881777670 |
| NPI Enumeration Date: | 23 Oct, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jackson Lee Payne Ii are as mentioned below.
| License Number | Specialization | State | Status | |
| DS5420 | Dentistry | Tennessee | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jackson Lee Payne Ii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3225937 | Medicaid | Tennessee | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3574 Hickory Hill Road,
Memphis, Tennessee |
| Zip: | 38115 |
| Phone Number: | 901-365-9054 |
| Fax Number: | 901-365-1159 |
Patients can reach Mr. Jackson Lee Payne Ii at
3574 Hickory Hill Road, Memphis, Tennessee or can
call to book an appointment on 901-365-9054.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.