Provider Demographics
NPI:1548290802
Name:LAYTON, DENNIS S (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:S
Last Name:LAYTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60099
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0099
Mailing Address - Country:US
Mailing Address - Phone:704-512-5000
Mailing Address - Fax:704-512-5001
Practice Address - Street 1:330 BILLINGSLEY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-5055
Practice Address - Country:US
Practice Address - Phone:704-512-5000
Practice Address - Fax:704-512-5001
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23398207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8951280Medicaid
SC348458Medicaid
NCC85088Medicare UPIN
NC208129CMedicare PIN
NC110229142Medicare PIN