Organization
SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC
Active
Other names
Affordable Dentures & Implants - Lake Charles
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY WOOSTER (ENROLLMENT MANAGER)
(984) 251-8846
Entity
Organization
Contact information
Practice address
2625 DILLARD LOOP, STE A, LAKE CHARLES, LA 70607
(337) 242-1800
Mailing address
2625 DILLARD LOOP STE A, LAKE CHARLES, LA 70607-7721
(337) 242-1800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6219
LA
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
04/13/2026
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