Individual
DR. SHANE L SCHVANEVELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.CL.D.
Contact information
Practice address
2085 DAWSON DR, TWIN FALLS, ID 83301-3195
(208) 734-4600
Mailing address
2085 DAWSON DR, TWIN FALLS, ID 83301-3195
(208) 734-4600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-3515-OR
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806662500
—
ID
Enumeration date
04/02/2008
Last updated
09/22/2025
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