Organization
SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC
Active
Other names
Affordable Dentures & Implants - Carencro
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY WOOSTER (ENROLLMENT MANAGER)
(984) 251-8846
Entity
Organization
Contact information
Practice address
114 DEREK PLAZA, STE E, CARENCRO, LA 70520
(337) 520-0196
Mailing address
114 DEREK PLAZA DR STE E, CARENCRO, LA 70520-3644
(337) 520-0196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6219
LA
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
04/13/2026
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