Provider Demographics
NPI:1649477290
Name:MELZER, MEANS & LAYNE ORAL SURGERY GRP.
Entity type:Organization
Organization Name:MELZER, MEANS & LAYNE ORAL SURGERY GRP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:MEANS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-667-1191
Mailing Address - Street 1:1500 SAN REMO AVE
Mailing Address - Street 2:#150
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3043
Mailing Address - Country:US
Mailing Address - Phone:305-667-1191
Mailing Address - Fax:305-667-2712
Practice Address - Street 1:1500 SAN REMO AVE
Practice Address - Street 2:#150
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3043
Practice Address - Country:US
Practice Address - Phone:305-667-1191
Practice Address - Fax:305-667-2712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty