Individual
MR. THOMAS H LAYNE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
119 COURT ST S, RIPLEY, WV 25271-1408
(304) 372-5725
(304) 372-5770
Mailing address
1645 E GREENVILLE ST, ANDERSON, SC 29621-2006
(864) 261-3132
(864) 261-6614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2479
WV
1223G0001X
General Practice Dentistry
Primary
8717
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036289000
—
WV
Enumeration date
08/20/2006
Last updated
10/22/2020
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