MEDICARE: DR. AMY LAYMON DDS

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	20473	TX
2	1223G0001X	General Practice Dentistry	6556	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912026162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY LAYMON DDS

Provider Business Mailing Address
First Line	:	2932 MISTY RIDGE DR
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73071-4111
Country	:	US
Telephone Number	:	580-916-0673
Fax Number	:

Provider Business Practice Location Address
First Line	:	5920 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4277
Country	:	US
Telephone Number	:	405-494-4961
Fax Number	:	405-494-4961

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/09/2021

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