Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CECIL CLYDE GADDIS, DDS
ActiveDR. CECIL CLYDE GADDIS, DDS is a Dentist healthcare provider located in JENA, Louisiana. NPI 1598801367 is currently active in the NPPES registry. Verify at CMS.
Dentist · JENA, LA
Registration Details
- NPI Number
- 1598801367
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2007 (19.35905865539 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2645 (LA)
Practice Information
- Address
-
2709 NORTH FIRST STREETJENA, LA, 71342Browse LA providers · Browse ZIP 71342
- Phone
- 3189926175
- Fax
- 3189926197
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in JENA, LA
| Name | Credential | NPI |
|---|---|---|
| DR. RACHEL GADDIS FLOYD | DDS | 1285775940 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.