Individual
SHAWN A BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12313 GREENVILLE HWY, LYMAN, SC 29365-1515
(864) 439-3322
Mailing address
218 THELMA DR, SUNSET, LA 70584-5430
(337) 308-2020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6841
LA
1223G0001X
General Practice Dentistry
Primary
6841
SC
Other
Enumeration date
04/04/2018
Last updated
04/29/2026
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