OrganizationActive
Shane Dental LLC
NPI 1205361862 · Dentist · Hudson, WI
Shane Dental LLC is a Dentist organization in Hudson, WI (NPI 1205361862).
Provider details
- NPI number
- 1205361862
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kelvin Shane, Owner(715) 386-2133
- License
- 100148715 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
108 Walnut St Unit a
Hudson, WI 54016-4501
Phone: (715) 386-2133
Street-level locationGet directions
Mailing address
108 Walnut St Unit a
Hudson, WI 54016-4501
Other names (DBA / former)
- Doing business as
- Shane Dental
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2017-04-20
Frequently asked questions
- What is Shane Dental LLC's NPI number?
- Shane Dental LLC's National Provider Identifier (NPI) is 1205361862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shane Dental LLC?
- Shane Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Shane Dental LLC located?
- Shane Dental LLC's practice location on file with NPPES is 108 Walnut St Unit a, Hudson, WI 54016-4501.
- What is Shane Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Shane Dental LLC is (715) 386-2133.
- Who is the authorized official for Shane Dental LLC?
- The authorized official listed on Shane Dental LLC's NPPES record is Kelvin Shane, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shane Dental LLC's NPI active?
- Yes — Shane Dental LLC's NPI (1205361862) is active in the NPPES registry as of the last update on 2017-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.