Individual provider · Type 1 NPI

Layton Paul Elledge

Dentist · Oklahoma City, OK

NPI number 1003614165 Active

Practice location

4605 NW 23rd St
Oklahoma City, OK 73127-2128

Call (405) 978-2220 Map

Fax (405) 978-2221

Mailing address

4210 N Edwards St
Boise, ID 83703-4004

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X8123 (OK)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1003614165

Layton Paul Elledge's National Provider Identifier is 1003614165, issued on Mar 5, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 30, 2025.