Organization
TIMOTHY CHAUVIN, D.D.S., A.P.D.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LOUIS CHAUVIN D.D.S. (OWNER)
(337) 234-2186
Entity
Organization
Contact information
Practice address
2517 W PINHOOK RD, LAFAYETTE, LA 70508-3374
(337) 234-2186
(337) 235-3761
Mailing address
2517 W PINHOOK RD, LAFAYETTE, LA 70508-3374
(337) 234-2186
(337) 235-3761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5394
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1687860
UNITED CONCORDIA INS CO'S
—
01
—
43625064601
BLUECROSSBLUESHEILD OF LA
LA
Enumeration date
08/12/2006
Last updated
08/22/2020
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