Individual provider · Type 1 NPI
Jerry Guwayne Ezell, DDS
General Practice Dentistry · Tallulah, LA
NPI number
1720153729
Active
Practice location
1403 Johnson St
Tallulah, LA 71282-5513
Fax (318) 493-5085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 4479 (LA) |
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.
2 other providers at this address
About NPI 1720153729
Jerry Guwayne Ezell, DDS's National Provider Identifier is 1720153729, issued on Nov 22, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tallulah, LA. The record was last updated on Sep 21, 2022.