Individual provider · Type 1 NPI

Charles Frederick Ezelle, DMD

General Practice Dentistry · Flowood, MS

NPI number 1669488763 Active

Practice location

2655 Lakeland Dr
Flowood, MS 39232-9516

Fax (601) 939-8169

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1924-81 (MS)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1669488763

Charles Frederick Ezelle, DMD's National Provider Identifier is 1669488763, issued on Jul 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Flowood, MS. The record was last updated on Jul 8, 2007.