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

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4479 (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.