Provider Demographics
NPI:1528495157
Name:MARTIN W. LAYMAN DDS AND ASSOCIATES, INC.
Entity type:Organization
Organization Name:MARTIN W. LAYMAN DDS AND ASSOCIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-422-0011
Mailing Address - Street 1:9330 MARKET SQUARE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-5296
Mailing Address - Country:US
Mailing Address - Phone:330-422-0011
Mailing Address - Fax:330-422-0003
Practice Address - Street 1:9330 MARKET SQUARE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-5296
Practice Address - Country:US
Practice Address - Phone:330-422-0011
Practice Address - Fax:330-422-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty