Shelly Rea Sullens DMD

NPI 1124266804 - Dentist - 122300000X

NPI Details
NPI 1124266804
Gender Female
Enumeration Date 02/03/2009
Last Updated 06/23/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
121 SW 5TH ST
CANYONVILLE OR, 97417-8718, US
Phone (888) 468-0022
Fax (541) 504-3907
Business Location
REDMOND OR, 97756-7039, US
Phone (541) 504-3900
Fax (503) 653-8447
Taxonomy Code 122300000X
License State Oregon
License Number D6207
Remove 1124266804 NPI Number

According to our database, Dr. Shelly Rea Sullens DMD NPI is 1124266804, taxonomy code is 122300000X and license number is D6207, license state is located at Oregon. Shelly Rea Sullens DMD physically located at 121 Sw 5th St, Canyonville OR, 97417-8718. NPI Number Shelly Rea Sullens DMD has the Individual type.

Sponsored links

1124266804 NPI number is provided on an as is basis without warranty of any kind. 1124266804 is maintained by the National Plan & Provider Enumeration System. The contents of Shelly Rea Sullens DMD are for informational purposes only.