# SOUTHERN SMILES OF IBERIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225355076
- **Authorized official:** DR. TIMOTHY L CHAUVIN DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (337) 234-2186

## Contact information

- **Practice address:** 715 N LEWIS ST, NEW IBERIA, LA 70563-2045
- **Practice address phone:** (337) 234-2186
- **Practice address fax:** (337) 234-1573
- **Mailing address:** 715 N LEWIS ST, NEW IBERIA, LA 70563-2045
- **Mailing address phone:** (337) 234-2186
- **Mailing address fax:** (337) 234-1573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5394 | LA | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 05/03/2010