Individual provider · Type 1 NPI

Richard Ivy Ezell, DDS

General Practice Dentistry · Fayetteville, AR

NPI number 1336156702 Active

About NPI 1336156702

Richard Ivy Ezell, DDS's National Provider Identifier is 1336156702, issued on Aug 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 8, 2007.