Shane Tewis, DDS of Louisiana, a Professional Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC

Doing business as

Affordable Dentures & Implants - Baton Rouge

Practice address

3203 S Sherwood Forest Blvd
Baton Rouge, LA 70816-2220

Phone

(225) 298-3200

NPI assigned

Feb 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Haley Wooster

Title

Enrollment Specialist

Phone

(984) 251-8846

Specialties & licenses 2

Addresses

Other names 1

• Affordable Dentures & Implants - Baton Rouge Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1235721101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162220",
            "telephone_number": "225-298-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162220",
            "telephone_number": "225-298-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE TEWIS, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "984-251-8846"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Baton Rouge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia Leigh Shaheen, PH.D.
• Shaista H. Faruqui, M.D. Apmc
• Ghaith Qasem Shamaileh, MD
• Kenyatta D. Shamlin, M.D.
• Tasha C. Shamlin, M.D.
• Shannon Candid Louisiana, Professional Corporation
• Shannon E Smith LPC, LLC
• Amie B Shannon, M.D.
• Michael Joseph Shannon, DDS
• Omeeka Shannon

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.