Charles Ezelle, D.M.D

NPI 1669488763 · on the registry since 2006

Practice

Address: 2655 Lakeland Dr
Flowood, MS 39232
Phone: (601) 932-8212
Fax: (601) 939-8169
Organisation at this address: Kincaid Dental Center
Jackson Dental Care, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi