NPI Profile for SHANE TEWIS DDS OF LOUISIANA A PROFESSIONAL DENTAL LLC in LAKE CHARLES, LA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Dentist |
122300000X |
| NPI # | 1023556370 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/07/2017 | |
| Last updated | 04/13/2026 - About 2 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC
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