Organization · Type 2 NPI
Shane Tewis, DDS of Louisiana, A Professional Dental LLC
General Practice Dentistry · Carencro, LA
NPI number
1962870493
Active
Practice location
114 Derek Plaza, Ste E
Carencro, LA 70520
Mailing address
114 Derek Plaza Dr Ste E
Carencro, LA 70520-3644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 6219 (LA) |
| General Practice Dentistry Primary | 1223G0001X | None 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.
Other general practice dentistry providers in Carencro
About NPI 1962870493
Shane Tewis, DDS of Louisiana, A Professional Dental LLC's National Provider Identifier is 1962870493, issued on Sep 15, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Carencro, LA. The record was last updated on Apr 13, 2026.