Organization
SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC
Active
Other names
Affordable Dentures & Implants - Slidell
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY WOOSTER (ENROLLMENT SPECIALIST)
(984) 251-8846
Entity
Organization
Contact information
Practice address
170 NORTHSHORE BLVD STE B, SLIDELL, LA 70460-6820
(985) 500-3155
(985) 643-6987
Mailing address
170 NORTHSHORE BLVD STE B, SLIDELL, LA 70460-6849
(985) 500-3155
(985) 643-6987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
04/13/2026
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