Provider Demographics
NPI:1134417108
Name:LAYTON, JAMES ERIC (DMD, MBA)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ERIC
Last Name:LAYTON
Suffix:
Gender:M
Credentials:DMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6335 DORCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-5103
Mailing Address - Country:US
Mailing Address - Phone:843-552-2580
Mailing Address - Fax:843-552-2596
Practice Address - Street 1:6335 DORCHESTER RD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-5103
Practice Address - Country:US
Practice Address - Phone:843-552-2580
Practice Address - Fax:843-552-2596
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC70271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice