Shane Tewis, DDS of Louisiana, A Professional Dental LLC
NPI 1588170112ActiveOrganization· Dentist, General Practice· Slidell, LA
Dentist, General Practice in Slidell, Louisiana, registered in NPPES in December 2017. The authorized official on file is Haley Wooster, Enrollment Specialist.
Overview
| NPI | 1588170112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2017 |
| Last updated in NPPES | Apr 13, 2026 |
| Certified by provider | Apr 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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