Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHELLY REA SULLENS, DMD
ActiveDR. SHELLY REA SULLENS, DMD is a Dentist healthcare provider located in CANYONVILLE, Oregon. NPI 1124266804 is currently active in the NPPES registry. Verify at CMS.
Dentist · CANYONVILLE, OR
Registration Details
- NPI Number
- 1124266804
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2009 (17.527043007834 yrs)
- Last Updated
- Jun 23, 2015
- License
-
D6207 (OR)
Practice Information
- Address
-
121 SW 5TH STCANYONVILLE, OR, 974178718Browse OR providers · Browse ZIP 97417
- Phone
- 8884680022
- Fax
- 5415043907
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CANYONVILLE, OR
| Name | Credential | NPI |
|---|---|---|
| HARLAN LEE WHITE | DMD | 1154765907 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.