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General NPI Number Information
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NPI Number | 1588918908
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Entity Type | Individual
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Provider Name | GRANT RONALD LAYTON D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 50 FARENHOLT AVE
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City | TAMUNING
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State | GU
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Zip | 96913-3106
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Country | US
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Telephone | 671-344-9269
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 455 BOX 208
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City | FPO
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State | AP
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Zip | 96540-0003
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Country | US
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Telephone | 671-344-9269
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 8311802-9922
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License Number State | UT
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