Shull Family Dentistry
LBN: Shull Family Dentistry
Shull Family Dentistry is an health care organization with primary practice located at 1211 Liberty St Se , Salem OR 97302-4243. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Shull Family Dentistry can be contacted via phone (503) 362-5019, or through Shull, Levi James-Oliver via phone (971) 269-8004.
Contact Information
Primary practice address
1211 Liberty St Se
Salem OR 97302-4243
Phone: (503) 362-5019
Fax:
Website:
Authorized official contact:
Name: Shull, Levi James-Oliver Doctor of Dental Medicine (DMD)
Phone: (971) 269-8004
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X |
Profile Details
| NPI number | 1407416746 |
|---|---|
| LBN Legal business name | Shull Family Dentistry |
| DBA Doing business as | |
| Authorized official | Shull, Levi James-Oliver Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2019 |
| Last updated | Jul 23rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407416746 | NPPES |
| Other | 140728500 | OWNER |
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