NPI 1003614165
Layton Paul Elledge
Practice location
- Address
- 4605 NW 23rd St, Oklahoma City, OK 73127-2128
- Phone
- (405) 978-2220
- Fax
- (405) 978-2221
- Mailing address
- 4210 N Edwards St, Boise, ID 83703-4004
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1003614165
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Mar 2025
- Record last updated
- 30 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.