Individual
LAYTON PAUL ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4605 NW 23RD ST, OKLAHOMA CITY, OK 73127-2128
(405) 978-2220
(405) 978-2221
Mailing address
4210 N EDWARDS ST, BOISE, ID 83703-4004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8123
OK
Other
Enumeration date
03/05/2025
Last updated
07/30/2025
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