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SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC
NPI 1629466511
Dentist - General Practice in Monroe, LA

Active since December 31, 2014
1128 PECANLAND RD, STE 1, MONROE, LA 71203(318) 450-3104 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2026, May 23, 2025, Nov 17, 2021 and 2 more (5 updates tracked since 2018).

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 1629466511), doing business as Affordable Dentures & Implants - Monroe, is a healthcare organization registered as a general practice in Monroe, Louisiana and active in the NPI registry since December 2014. The organization lists Haley Wooster, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1629466511
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC
Location Address1128 PECANLAND RD, STE 1Monroe, LA 71203-7019
Mailing Address1128 Pecanland Rd Ste 1Monroe, LA 71203-7019 · (318) 450-3104
Phone(318) 450-3104
Organization SubpartNo
Authorized OfficialHaley WoosterEnrollment Manager · (984) 251-8846
Enumeration DateDecember 31, 2014
Last NPPES UpdateApril 13, 20265 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1629466511 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)
1128 PECANLAND RD, Monroe, LA 71203
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Other Names 1

Doing Business AsAffordable Dentures & Implants - Monroe

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

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 1629466511. It was assigned to this organization in the NPPES registry on December 31, 2014. The provider is doing business as Affordable Dentures & implants - Monroe.

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

Shane Tewis, Dds Of Louisiana, A Professional Dental LLC is located at 1128 Pecanland Rd Ste 1, Monroe, LA 71203. The listed phone number is (318) 450-3104.

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.

What insurance does Shane Tewis, Dds Of Louisiana, A Professional Dental LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Shane Tewis, Dds Of Louisiana, A Professional Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.