Provider Demographics
NPI:1760053870
Name:WILLIAM LAY DDS PLLC
Entity Type:Organization
Organization Name:WILLIAM LAY DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-274-1825
Mailing Address - Street 1:1810 S BOWEN RD
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-3340
Mailing Address - Country:US
Mailing Address - Phone:817-274-1825
Mailing Address - Fax:682-247-0475
Practice Address - Street 1:1810 S BOWEN RD
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-3340
Practice Address - Country:US
Practice Address - Phone:817-274-1825
Practice Address - Fax:692-247-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental