Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane Dental LLC

Organization Dentist · NPI 1205361862

Shane Dental LLC is a Dentist in Hudson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 Walnut St Unit A
Hudson, WI 54016-4501
Phone: (715) 386-2133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 100148715 (WI)

Record details

NPI number1205361862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelvin Shane — Owner · (715) 386-2133
Other names Shane Dental
NPI enumeratedApril 20, 2017
Last updated in NPPESApril 20, 2017
Mailing address108 Walnut St Unit A, Hudson, WI 54016-4501

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