DR. JERRY DWAYNE LEAVINS DDS
NPI 1679623052
Dentist - General Practice in Vidor, TX

Q: What is Jerry Leavins's NPI number?

The NPI number for Jerry Leavins is 1679623052. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Jerry Leavins's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Leavins was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2007

180 W BOLIVAR ST, VIDOR, TX 77662(409) 769-5438(409) 769-2849 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jerry Dwayne Leavins Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY DWAYNE LEAVINS DDS (NPI 1679623052) is an individual general practice provider in Vidor, Texas, licensed in Texas (10901) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1679623052

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERRY DWAYNE LEAVINSCredential: DDS

Location Address180 W BOLIVAR STVidor, TX 77662-4849

Mailing Address180 West Bolivar StVidor, TX 77662-4849 · (409) 769-5438 · Fax (409) 769-2849

Phone(409) 769-5438

Fax(409) 769-2849

Sole ProprietorYes

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679623052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 10901

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.

180 W BOLIVAR ST, Vidor, TX 77662

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Leavins's NPI number?

The NPI number for Jerry Leavins is 1679623052. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Jerry Leavins located?

Jerry Leavins practices at 180 W Bolivar St, Vidor, TX 77662. The listed phone number is (409) 769-5438.

What is Jerry Leavins's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerry Leavins was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.