Individual provider · Type 1 NPI

Jerry Marshal Layne, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · South Miami, FL

NPI number 1679654644 Active

Practice location

7231 SW 63rd Ave
South Miami, FL 33143-4809

Fax (305) 667-2712

Mailing address

1500 San Remo Ave Ste 100
Coral Gables, FL 33146-3043

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN1110 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1679654644

Jerry Marshal Layne, MD, DDS's National Provider Identifier is 1679654644, issued on Oct 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in South Miami, FL. The record was last updated on Jun 10, 2020.