Individual
LESTER EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
923 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105-2205
(318) 869-0109
Mailing address
923 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105-2205
(318) 869-0109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4547
LA
1223G0001X
General Practice Dentistry
4547
LA
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
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