Ezelle, Charles Frederick
Ezelle, Charles Frederick is an individual health care provider with primary practice located at 2655 Lakeland Dr , Flowood MS 39232-9516. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ezelle, Charles Frederick can be contacted via phone (601) 932-8212.Contact Information
Primary practice address
2655 Lakeland Dr
Flowood MS 39232-9516
Phone: (601) 932-8212
Fax: (601) 939-8169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1924-81 | Mississippi |
Profile Details
| NPI number | 1669488763 |
|---|---|
| LBN Legal business name | Ezelle, Charles Frederick |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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