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Dr. Jerry Dwayne Leavins, DDS
General Practice Dentistry in Vidor, Texas
NPI 1679623052

Jerry Dwayne Leavins is a General Practice Dentistry based in Vidor, TX and is specialized in General Practice. Jerry Dwayne Leavins practices in Vidor, TX and has the professional credentials of DDS. The NPI Number for Jerry Dwayne Leavins is 1679623052 and holds a License No. 10901 (Texas).

The current practice location address for Jerry Dwayne Leavins is 180 W Bolivar St, Vidor, TX and can be reached out via phone at 409-769-5438 and via fax at 409-769-2849.

Location: 180 W Bolivar St, Vidor, TX, 77662-4849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679623052
Provider Name
Jerry Dwayne Leavins
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
180 W Bolivar St, Vidor, TX, 77662-4849
Phone Number
409-769-5438
Fax Number
409-769-2849
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
180 W Bolivar St
City
Vidor
State
Texas
Zip
77662-4849
Phone Number
409-769-5438
Fax Number
409-769-2849
person
Provider Business Mailing Address Details
Address
180 W Bolivar St
City
Vidor
State
Texas
Zip
77662-4849
Phone Number
409-769-5438
Fax Number
409-769-2849
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10901 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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