Individual
EVAN SHELBY TATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 S BEADLE RD, LAFAYETTE, LA 70508-4287
(337) 234-2349
Mailing address
185 S BEADLE RD, LAFAYETTE, LA 70508-4287
(337) 234-2349
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7085
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2020
Last updated
07/23/2025
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