Layne C Brown, DDS
Individual provider Active NPI General Practice Dentistry · Holladay, UT
NPI 1851440283 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851440283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 293913-9922 (UT)
- Practice address
- 1345 E 3900 S
Suite 206
Holladay, UT 84124-1474 - Phone
- (801) 278-1333
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293913-9922 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 39TH & 13TH Street Dental | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 293913-9922 | UT | Yes |
Addresses
Primary practice location
1345 E 3900 S
Suite 206
Holladay, UT 84124-1474
Mailing address
1345 E 3900 S
206
Holladay, UT 84124-1474
Phone (801) 278-1333
Other providers in Holladay, UT
- Brightside Services
- Andrew Winn Bringhurst
- Jillian Brinton
- Sarah Brooks
- Adrienne C Brown
- Damon Paul Bryan
- Brittany Buckner
- BWL Enterprises Inc
- Reagan Byansi
- David S Cannon
All providers in Holladay, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.