Individual provider · Type 1 NPI

Shelly Rea Sullens, DMD

Dentist · Canyonville, OR

NPI number 1124266804 Active

Practice location

121 SW 5th St
Canyonville, OR 97417-8718

Fax (541) 504-3907

Mailing address

442 SW Umatilla Ave, Suite 200
Redmond, OR 97756-7039

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD6207 (OR)

Dentist: 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 requiremen…

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About NPI 1124266804

Shelly Rea Sullens, DMD's National Provider Identifier is 1124266804, issued on Feb 3, 2009. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Canyonville, OR. The record was last updated on Jun 23, 2015.