DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY DWAYNE LEAVINS, DDS

Active Sole Proprietor

DR. JERRY DWAYNE LEAVINS, DDS is a General Dentistry healthcare provider located in VIDOR, Texas. NPI 1679623052 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · VIDOR, TX

Registration Details

NPI Number
1679623052
Provider Type
Individual
Gender
Male
NPI Issued
Jan 10, 2007 (19.607138363405 yrs)
Last Updated
Jul 8, 2007
License
10901 (TX)
Sole Proprietor
Yes

Practice Information

Address
180 W BOLIVAR ST
VIDOR, TX, 776624849
Browse TX providers · Browse ZIP 77662
Phone
4097695438
Fax
4097692849
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in VIDOR, TX

Name Credential NPI
DR. EUGENE V BOONE D.D.S. 1467581421
DR. TIMOTHY HAGLER D.D.S. 1790909646
DR. RONALD FRANK SCIARRILLA JR. D.D.S. 1114271566
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.