Organization · Type 2 NPI

Shane Tewis, DDS of Louisiana, A Professional Dental LLC

General Practice Dentistry · Lake Charles, LA

NPI number 1023556370 Active

Practice location

2625 Dillard Loop, Ste A
Lake Charles, LA 70607

Call (337) 242-1800 Map

Mailing address

2625 Dillard Loop Ste A
Lake Charles, LA 70607-7721

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X6219 (LA)
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1023556370

Shane Tewis, DDS of Louisiana, A Professional Dental LLC's National Provider Identifier is 1023556370, issued on Feb 7, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 13, 2026.