Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane Tewis, DDS of Louisiana, a Professional Dental LLC

Organization Dentist · NPI 1023556370

Shane Tewis, DDS of Louisiana, a Professional Dental LLC is a Dentist in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2017.

Licensed in
LA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2625 Dillard Loop Ste A
Lake Charles, LA 70607
Phone: (337) 242-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X · Licence 6219 (LA)

Record details

NPI number1023556370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Haley Wooster — Enrollment Manager · (984) 251-8846
Other names Affordable Dentures & Implants - Lake Charles
NPI enumeratedFebruary 7, 2017
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address2625 Dillard Loop Ste A, Lake Charles, LA 70607-7721

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