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Jerry Ezell, DDS
NPI 1720153729 · on the registry since 2006
Practice
- Address
- 1403 Johnson St
Tallulah, LA 71282 - Phone
- (318) 574-0765
- Fax
- (318) 493-5085
- Organisation at this address
- Joseph W. Yerger
Dr. Jennifer N Boles, Dds,LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-21
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 Louisiana