Search › Oregon › 122300000X
Shelly Sullens, DMD
NPI 1124266804 · on the registry since 2009
Practice
- Address
- 121 Sw 5th St
Canyonville, OR 97417 - Phone
- (888) 468-0022
- Fax
- (541) 504-3907
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon