Poulsbo Children'S Dentistry

LBN: Shelly Self Dmd Pllc
Poulsbo Children'S Dentistry is an health care organization with primary practice located at 19365 7Th Ave Ne Suite D 108, Poulsbo WA 98370-7441. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Shelly Self Dmd Pllc can be contacted via phone (360) 779-7115, or through Self, Mckinley T via phone (360) 464-0779.

Contact Information

Primary practice address
19365 7Th Ave Ne Suite D 108 Poulsbo WA 98370-7441
Phone: (360) 779-7115
Fax: (360) 779-3990
Website:
Map and Directions
Authorized official contact:
Name: Self, Mckinley T Doctor of Dental Medicine (DMD)
Phone: (360) 464-0779

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X DE10256 Washington

Profile Details

NPI number 1780003723
LBN Legal business name Shelly Self Dmd Pllc
DBA Doing business as Poulsbo Children'S Dentistry
Authorized official Self, Mckinley T Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2014
Last updated Apr 7th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780003723 NPPES
Washington MEDICAID 5003603
Washington MEDICAID 1008098

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