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SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC
NPI 1023556370
Dentist - General Practice in Lake Charles, LA

Active since February 07, 2017
2625 DILLARD LOOP, STE A, LAKE CHARLES, LA 70607(337) 242-1800 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2026, May 23, 2025, Nov 17, 2021 and 3 more (6 updates tracked since 2017).

About Shane Tewis, Dds Of Louisiana, A Professional Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC (NPI 1023556370), doing business as Affordable Dentures & Implants - Lake Charles, is a healthcare organization registered as a general practice in Lake Charles, Louisiana and active in the NPI registry since February 2017. The organization lists Haley Wooster, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1023556370
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC
Location Address2625 DILLARD LOOP, STE ALake Charles, LA 70607
Mailing Address2625 Dillard Loop Ste ALake Charles, LA 70607-7721 · (337) 242-1800
Phone(337) 242-1800
Organization SubpartNo
Authorized OfficialHaley WoosterEnrollment Manager · (984) 251-8846
Enumeration DateFebruary 7, 2017
Last NPPES UpdateApril 13, 20266 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1023556370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 6219 (LA)
2625 DILLARD LOOP, Lake Charles, LA 70607
Open in Google Maps ↗

Other Names 1

Doing Business AsAffordable Dentures & Implants - Lake Charles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOMINIC ANTHONY CALATO DDS
Dentist
2625 DILLARD LOOP, A
LAKE CHARLES, LA 70607
Calcasieu Parish (337) 284-0695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Tewis, Dds Of Louisiana, A Professional Dental LLC's NPI number?

The NPI number for Shane Tewis, Dds Of Louisiana, A Professional Dental LLC is 1023556370. It was assigned to this organization in the NPPES registry on February 7, 2017. The provider is doing business as Affordable Dentures & Implants - Lake Charles.

Where is Shane Tewis, Dds Of Louisiana, A Professional Dental LLC located?

Shane Tewis, Dds Of Louisiana, A Professional Dental LLC is located at 2625 Dillard Loop Ste A, Lake Charles, LA 70607. The listed phone number is (337) 242-1800.

What is Shane Tewis, Dds Of Louisiana, A Professional Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shane Tewis, Dds Of Louisiana, A Professional Dental LLC was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.