Layton Dental Lab

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

LAYTON DENTAL LAB

Practice address

495 Hickory St
Pewaukee, WI 53072-3537

Phone

(262) 691-7100

NPI assigned

Jun 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Bong

Title

President

Phone

(262) 691-7100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1740628254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HICKORY ST",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723537",
            "telephone_number": "262-691-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HICKORY ST",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723537",
            "telephone_number": "262-691-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYTON DENTAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "BONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-691-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Mach Lamanna, D.D.S
• Shay Lange
• Heidi Laurel Lasnoski, PT
• Katie Laufenberg
• Lauri Green M.D. S.C.
• Heidijo Katherine Leach Krause, PMHNP
• Kaelyn Lejcher
• John A. Levene, DPT
• Kathleen Levenhagen
• Kimberly M Lewandowski-Walker, O.D.

• Dental Laboratory in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Dental Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.