DR. Shane Tewis, DDS

NPI #1962498519 in Sand Springs, Oklahoma

Provider Information

NPI Number: 1962498519
Entity Type: Individual
Name: DR. Shane Tewis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 20, 2005
Last Updated: Aug 8, 2012

Practice Location

Address: 530 PLAZA CT
City: Sand Springs
State: Oklahoma
ZIP Code: 74063-7915
Phone: (918) 245-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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