Cecil C Gaddis Dds., a Professional Dental Corporation

NPI #1609238336 in Jena, Louisiana

Provider Information

NPI Number: 1609238336
Entity Type: Organization
Organization Name: Cecil C Gaddis Dds., a Professional Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Mar 22, 2016
Last Updated: Mar 22, 2016

Practice Location

Address: 2709 NORTH FIRST STREET
City: Jena
State: Louisiana
ZIP Code: 71342
Phone: (318) 992-6175

Authorized Official

Name: DR. CECIL CLYDE GADDIS, DDS
Title: PRESIDENT
Phone: (318) 992-6175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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