Provider Demographics
NPI:1073910402
Name:LAYFIELD, LARRY
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
Last Name:LAYFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 HUNTERS VLG
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4742
Mailing Address - Country:US
Mailing Address - Phone:830-625-0414
Mailing Address - Fax:830-625-0426
Practice Address - Street 1:230 HUNTERS VLG
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4742
Practice Address - Country:US
Practice Address - Phone:830-625-0414
Practice Address - Fax:830-625-0426
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201341223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics