MEDICARE: DR. MARTIN W LAYMAN D.D.S, F.A.G.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	20010	OH

General Provider Information

NPI Number	:	1770587263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN W LAYMAN D.D.S, F.A.G.D.

Provider Business Mailing Address
First Line	:	9330 MARKET SQUARE DRIVE
Second Line	:	SUITE 100
City	:	STREETSBORO
State	:	OH
Zip	:	44241
Country	:	US
Telephone Number	:	330-422-0011
Fax Number	:	330-422-0030

Provider Business Practice Location Address
First Line	:	9330 MARKET SQUARE DR.
Second Line	:	SUITE 100
City	:	STREETSBORO
State	:	OH
Zip	:	44241
Country	:	US
Telephone Number	:	330-422-0011
Fax Number	:	330-422-0030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	05/28/2015

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