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Dr. Shelly Self, DMD
Pediatric Dentist in Poulsbo, Washington
NPI 1336280957

Shelly Self is a Pediatric Dentist based in Bainbridge Island, WA and is specialized in Pediatric Dentistry. Shelly Self practices in Poulsbo, WA and has the professional credentials of DMD. The NPI Number for Shelly Self is 1336280957 and holds a License No. DE00010256 (Washington).

The current practice location address for Shelly Self is 19365 7Th Ave Ne, Poulsbo, WA and can be reached out via phone at 360-779-7115 and via fax at 360-779-3990. You can also correspond with Shelly Self through the mailing address at 9902 NE MONSAAS RD, BAINBRIDGE ISLAND, WA - 98110-1103 (mailing address contact number: 360-464-0990).

Location: 19365 7Th Ave Ne, Poulsbo, WA, 98110-1103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336280957
Provider Name
Shelly Self
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
19365 7Th Ave Ne, Poulsbo, WA, 98110-1103
Phone Number
360-779-7115
Fax Number
360-779-3990
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2035573 05 WA
1008098 05 WA
institution
Provider Business Practice Location Address Details
Address
19365 7Th Ave Ne
City
Poulsbo
State
Washington
Zip
98370-7441
Phone Number
360-779-7115
Fax Number
360-779-3990
person
Provider Business Mailing Address Details
Address
19365 7Th Ave Ne
City
Poulsbo
State
Washington
Zip
98370-7441
Phone Number
360-779-7115
Fax Number
360-779-3990
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE10256 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE00010256 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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