Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 6038 | FL |
NPI | 1063629707 |
---|---|
Provider Name | Dr. Gary Alan Layton |
First Address | Naples, FL 34103-8927 |
Second Address | Naples, FL 34103-8927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 08/07/2007 |