Healthcare Provider Details

I. General information

NPI: 1871643981
Provider Name (Legal Business Name): DR. WILLIAMS LAYMAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 02/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S MISSOURI AVE
CLEARWATER FL
33756-5912
US

IV. Provider business mailing address

501 S MISSOURI AVE
CLEARWATER FL
33756-5912
US

V. Phone/Fax

Practice location:
  • Phone: 727-446-8005
  • Fax: 727-446-8002
Mailing address:
  • Phone: 727-446-8005
  • Fax: 727-446-8002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM LAYMAN
Title or Position: OWNER
Credential: DMD
Phone: 727-446-8005