Organization · Type 2 NPI

Shane Tewis, DDS of Louisiana, A Professional Dental LLC

General Practice Dentistry · Monroe, LA

NPI number 1629466511 Active

Practice location

1128 Pecanland Rd, Ste 1
Monroe, LA 71203-7019

Call (318) 450-3104 Map

Mailing address

1128 Pecanland Rd Ste 1
Monroe, LA 71203-7019

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 1629466511

Shane Tewis, DDS of Louisiana, A Professional Dental LLC's National Provider Identifier is 1629466511, issued on Dec 31, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Monroe, LA. The record was last updated on Apr 13, 2026.