Individual
DR. PHILIP WAYNE EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
911 MEADOWLARK LN, GOODLETTSVILLE, TN 37072-2309
(615) 851-6800
(615) 851-0392
Mailing address
911 MEADOWLARK LN, GOODLETTSVILLE, TN 37072-2309
(615) 851-6800
(615) 851-0392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS8588
TN
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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