Provider Demographics
NPI:1891856712
Name:LAYNE P CURNUTT DDS INC
Entity Type:Organization
Organization Name:LAYNE P CURNUTT DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAYNE
Authorized Official - Middle Name:PHILLIPS
Authorized Official - Last Name:CURNUTT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-645-3373
Mailing Address - Street 1:496 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648
Mailing Address - Country:US
Mailing Address - Phone:916-645-3373
Mailing Address - Fax:916-645-2488
Practice Address - Street 1:496 EAST AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648
Practice Address - Country:US
Practice Address - Phone:916-645-3373
Practice Address - Fax:916-645-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26832261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental