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General NPI Number Information
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NPI Number | 1639057201
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Entity Type | Organization
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Legal Business Name | LAYNE MARTIN, DDS, PLLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1501 CORPORATE DR STE 100
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6654
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Country | US
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Telephone | 917-748-0816
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 CORPORATE DR STE 100
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6654
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Country | US
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Telephone | 917-748-0816
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. LAYNE B. MARTIN
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Credential | DDS
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Telephone | 917-748-0816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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