Healthcare Provider Details

I. General information

NPI: 1669092011
Provider Name (Legal Business Name): DONALD LAYUS DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 SAN ANDRES ST STE D
SANTA BARBARA CA
93101-4219
US

IV. Provider business mailing address

4282 CARPINTERIA AVE UNIT A
CARPINTERIA CA
93013-3337
US

V. Phone/Fax

Practice location:
  • Phone: 805-962-7471
  • Fax:
Mailing address:
  • Phone: 858-945-2754
  • Fax: 805-962-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DONALD LAYUS
Title or Position: PRESIDENT
Credential: DDS
Phone: 805-962-7471