Healthcare Provider Details

I. General information

NPI: 1295849354
Provider Name (Legal Business Name): DONNA LOUISE FOSTER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6572 LA HIGHWAY 1 S
ADDIS LA
70710-2021
US

IV. Provider business mailing address

3963 CAROLINA DR
ADDIS LA
70710-3046
US

V. Phone/Fax

Practice location:
  • Phone: 225-320-3434
  • Fax: 225-320-3439
Mailing address:
  • Phone: 601-754-6651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number192581
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3825
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: