Provider Demographics
NPI:1922126853
Name:NEW BRAUNFELS ORTHODONTIC ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:NEW BRAUNFELS ORTHODONTIC ASSOCIATES, P.A.
Other - Org Name:LARRY L. LAYFIELD, D.D.S.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:830-625-0414
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201341223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty