Organization · Type 2 NPI

Shane Tewis, DDS of Louisiana, A Professional Dental LLC

General Practice Dentistry · Baton Rouge, LA

NPI number 1235721101 Active

About NPI 1235721101

Shane Tewis, DDS of Louisiana, A Professional Dental LLC's National Provider Identifier is 1235721101, issued on Feb 10, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Baton Rouge, LA. The record was last updated on Apr 13, 2026.