Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jerry Dwayne Leavins, DDS

Individual provider General Practice Dentistry · NPI 1679623052

Dr. Jerry Dwayne Leavins, DDS is a General Practice Dentistry in Vidor, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

180 W Bolivar St
Vidor, TX 77662-4849
Phone: (409) 769-5438
Fax: (409) 769-2849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10901 (TX)

Record details

NPI number1679623052
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 8, 2007
Mailing address180 West Bolivar St, Vidor, TX 77662-4849

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