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

Shane Tewis, DDS of Louisiana, a Professional Dental LLC

Organization Dentist · NPI 1629466511

Shane Tewis, DDS of Louisiana, a Professional Dental LLC is a Dentist in Monroe, Louisiana. Licensed in Louisiana. Registered with an NPI since 2014.

Licensed in
LA
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1128 Pecanland Rd Ste 1
Monroe, LA 71203-7019
Phone: (318) 450-3104
Show map & directions

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 number1629466511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Haley Wooster — Enrollment Manager · (984) 251-8846
Other names Affordable Dentures & Implants - Monroe
NPI enumeratedDecember 31, 2014
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address1128 Pecanland Rd Ste 1, Monroe, LA 71203-7019

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