Shane Tewis, DDS of Louisiana, A Professional Dental LLC
NPI 1629466511ActiveOrganization· Dentist, General Practice· Monroe, LA
Dentist, General Practice in Monroe, Louisiana, registered in NPPES in December 2014. The authorized official on file is Haley Wooster, Enrollment Manager.
Overview
| NPI | 1629466511 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2014 |
| 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 | — | — |
| Dentist | 122300000X | 6219 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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