Provider Demographics
NPI:1942467592
Name:DR. KEVIN L. LAYTON, D.D.S.
Entity Type:Organization
Organization Name:DR. KEVIN L. LAYTON, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-728-3300
Mailing Address - Street 1:5804 NW EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73132-5239
Mailing Address - Country:US
Mailing Address - Phone:405-728-3300
Mailing Address - Fax:405-728-5037
Practice Address - Street 1:5804 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73132-5239
Practice Address - Country:US
Practice Address - Phone:405-728-3300
Practice Address - Fax:405-728-5037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK49331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty