Healthcare Provider Details

I. General information

NPI: 1497619795
Provider Name (Legal Business Name): DR LAYER DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10065 W LINCOLN HWY
FRANKFORT IL
60423-1272
US

IV. Provider business mailing address

4300 PALMER DR
NAPERVILLE IL
60564-5661
US

V. Phone/Fax

Practice location:
  • Phone: 815-469-0707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: THERON LAYER
Title or Position: PRESIDENT
Credential: DDS
Phone: 319-671-1233