Organization
SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC
Active
Other names
Affordable Dentures & implants - Monroe
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY WOOSTER (ENROLLMENT MANAGER)
(984) 251-8846
Entity
Organization
Contact information
Practice address
1128 PECANLAND RD, STE 1, MONROE, LA 71203-7019
(318) 450-3104
Mailing address
1128 PECANLAND RD STE 1, MONROE, LA 71203-7019
(318) 450-3104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6219
LA
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/31/2014
Last updated
04/13/2026
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