SHANE DENTAL LLC


Address: 108 Walnut St Unit A, Hudson, WI 54016-4501
Phone: 7153862133

SHANE DENTAL LLC (NPI# 1205361862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205361862
Entity Type Organization
Organization Name SHANE DENTAL LLC
Other Organization Name SHANE DENTAL
Practice Address 108 Walnut St Unit A
Hudson
WI 54016-4501
Practice Telephone 7153862133
Mailing Telephone 7153862133
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Authorized Official Name DR. KELVIN SHANE (OWNER)
Authorized Official Telephone 7153862133
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 100148715 WI Dental Providers

Other Provider/Organization Names

Other Name Type Code
Shane Dental Doing Business As Name - Organization

Office Location

Street Address 108 WALNUT ST UNIT A
City HUDSON
State WI
Zip Code 54016-4501

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164921128 Sara Lynn Henry Occupational Therapy Assistant 1320 Wisconsin St., Husdon, WI 54016 2018-02-06
1689003436 Serving Hands Inc Home Health 1419 Boulder Court, Hudson, WI 54016 2013-11-02
1275973042 Lisa Renee Haverly Occupational Therapist 477 Perch Lake Rd, Hudson, WI 54016 2013-06-26
1710320213 Emily Ann Stevenson Counselor 901 4th St Ste 165, Hudson, WI 54016 2013-04-15
1083972954 The Shurden Group In Home Supportive Care 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 2012-04-30
1124305933 Robert Michael Catlow-price Massage Therapist 131 Carmichael Road, Suite #202, Hudson, WI 54016 2011-11-08
1962780221 Qin Chu Acupuncturist 1615 Maxwell Dr., Suite D, Hudson, WI 54016 2011-08-03
1124324231 Hung Trieu Lieu Acupuncturist 1810 Crest View Dr Ste 4a, Hudson, WI 54016 2011-02-07
1912214966 Sumac Residential LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 723 B Blue Jay Lane, Hudson, WI 54016 2010-09-10
1740593201 Michelle Marie Young Counselor 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 2010-07-26
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942866850 Janel Lynn Ashley Dentist 900 6th St N Ste 200, Hudson, WI 54016-7172 2019-05-15
1326504663 Waijun Jessica Wong Dentist 446 Fairview Ave Ste 100, Hudson, NY 12534-1048 2019-02-12
1174044465 Brian Raasch Dentist 101 E Bison Hwy, Hudson, CO 80642-5028 2017-06-28
1053763524 Yoon Jae Lee Dentist 66 Cox St, Hudson, MA 01749-1441 2016-07-08
1366829780 Harold Rothermel Dentist 281 Aurora St, Hudson, OH 44236-2942 2015-05-05
1295091171 Tom Olaf Kloster Dentist 2215 Vine St Ste D, Hudson, WI 54016-5862 2012-04-05
1144508441 Shahenaz Suliman Dentist 11707 Lakewood Dr, Hudson, FL 34669-2906 2011-08-03
1801181250 Christopher Buege Dentist 900 Crest View Dr, Suite 240, Hudson, WI 54016-9516 2011-06-14
1841503604 Aparna Khanna Dentist 26 Derry St, Hudson, NH 03051-4008 2010-07-22
1730337221 Armina Azary Dentist 46 Ravenna St Ste A6, Hudson, OH 44236-3058 2008-09-09
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Competitor

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City HUDSON
Zip Code 54016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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