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Organization

SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC

Active
Other names
Affordable Dentures & Implants - Baton Rouge
Organization subpart
No

Provider details

NPI number
Authorized official
HALEY WOOSTER (ENROLLMENT SPECIALIST)
(984) 251-8846
Entity
Organization

Contact information

Practice address
3203 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-2220
(225) 298-3200
Mailing address
3203 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-2220
(225) 298-3200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/10/2021
Last updated
04/13/2026
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