Provider Demographics
NPI:1558059030
Name:DUFRENE, SHAWN (RDH)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:DUFRENE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 PARLANGE DR
Mailing Address - Street 2:
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-2133
Mailing Address - Country:US
Mailing Address - Phone:504-427-4756
Mailing Address - Fax:
Practice Address - Street 1:45 PARLANGE DR
Practice Address - Street 2:
Practice Address - City:DESTREHAN
Practice Address - State:LA
Practice Address - Zip Code:70047-2133
Practice Address - Country:US
Practice Address - Phone:504-427-4756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist