Individual provider · Type 1 NPI
Shelly Self, DMD
Pediatric Dentistry · Poulsbo, WA
NPI number
1336280957
Active
Practice location
19365 7th Ave NE, Suite D108
Poulsbo, WA 98370-7441
Fax (360) 779-3990
Mailing address
9902 NE Monsaas Rd
Bainbridge Island, WA 98110-1103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00010256 (WA) |
| Pediatric Dentistry Primary | 1223P0221X | DE10256 (WA) |
Pediatric Dentistry: 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.
6 other providers at this address
- Barrett & Kushner PLLCGeneral Practice Dentistry Poulsbo, WA NPI 1568850014
- Scott A. Broadbent, D.d.s, P.s.General Practice Dentistry Poulsbo, WA NPI 1699873844
- Shelly Self DMD PLLCDental Clinic/Center Poulsbo, WA NPI 1780003723
- Charles R. Brown, D.D.SPediatric Dentistry Poulsbo, WA NPI 1396890810
- Kim Kevin Pulver, DDSGeneral Practice Dentistry Poulsbo, WA NPI 1518002500
- Patrick Edward Barrett, DDSDentist Poulsbo, WA NPI 1982722914
Other pediatric dentistry providers in Poulsbo
About NPI 1336280957
Shelly Self, DMD's National Provider Identifier is 1336280957, issued on Feb 8, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Poulsbo, WA. The record was last updated on May 20, 2014.