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.

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)

Practice location

108 Walnut St Unit a

Hudson, WI 54016-4501

Phone: (715) 386-2133

Street-level locationGet directions

More WI providers

Mailing address

108 Walnut St Unit a

Hudson, WI 54016-4501

Specialties & taxonomies

DentistPrimary122300000XLicense 100148715 (WI)
Dental Providers

Other names (DBA / former)

Doing business as: Shane Dental

Profile Score

Established profile(71/100 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions