Provider Demographics
NPI:1770587263
Name:LAYMAN, MARTIN W (DDS, FAGD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:W
Last Name:LAYMAN
Suffix:
Gender:M
Credentials:DDS, FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9330 MARKET SQUARE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241
Mailing Address - Country:US
Mailing Address - Phone:330-422-0011
Mailing Address - Fax:330-422-0030
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
Practice Address - Country:US
Practice Address - Phone:330-422-0011
Practice Address - Fax:330-422-0030
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice