MEDICARE: DR. WILLIAM LAY D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	36014	TX

General Provider Information

NPI Number	:	1437599586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM LAY D.D.S.

Provider Business Mailing Address
First Line	:	1810 S BOWEN RD
Second Line	:
City	:	PANTEGO
State	:	TX
Zip	:	76013-3340
Country	:	US
Telephone Number	:	214-730-8742
Fax Number	:	682-247-0475

Provider Business Practice Location Address
First Line	:	1810 S BOWEN RD
Second Line	:
City	:	PANTEGO
State	:	TX
Zip	:	76013-3340
Country	:	US
Telephone Number	:	817-274-1825
Fax Number	:	682-247-0475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2013
Last Update Date	:	04/16/2022

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Directions to “ DR. WILLIAM LAY D.D.S.” Practice Location

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