| Dr Shelly Self, DMD | |
|
19365 7th Ave Ne, Suite D108, Poulsbo, WA 98370-7441 | |
| (360) 779-7115 | |
| (360) 779-3990 |
| Full Name | Dr Shelly Self |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 19365 7th Ave Ne, Poulsbo, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336280957 | NPI | - | NPPES |
| 2035573 | Medicaid | WA | |
| 1008098 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00010256 (Washington) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DE10256 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shelly Self, DMD 9902 Ne Monsaas Rd, Bainbridge Island, WA 98110-1103 Ph: (360) 464-0990 | Dr Shelly Self, DMD 19365 7th Ave Ne, Suite D108, Poulsbo, WA 98370-7441 Ph: (360) 779-7115 |
Dr. Daniel Granger Peck, Dentist Medicare: Not Enrolled in Medicare Practice Location: 20855 Bond Rd Ne, Poulsbo, WA 98370 Phone: 360-779-5546 | |
Dr. Richard H. Tangen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20700 Bond Rd Ne, Suite 107, Poulsbo, WA 98370 Phone: 360-779-7912 Fax: 360-779-2457 | |
Jion Aoki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 19705 Viking Ave Nw Ste 201, Poulsbo, WA 98370 Phone: 360-377-3776 | |
Dr. Tanya A Gurevich Kushner, DDS Dentist Medicare: May Accept Medicare Assignments Practice Location: 19365 7th Ave Ne Ste 114, Poulsbo, WA 98370 Phone: 360-779-7711 | |
Dr. Kaylee Wonder, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 19410 8th Ave Ne Ste 102, Poulsbo, WA 98370 Phone: 360-779-1566 | |
Dr. John B. Goessman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20700 Bond Rd Ne, Suite 107, Poulsbo, WA 98370 Phone: 360-779-7912 Fax: 360-779-2457 | |
Dr. Richard Frank Weatherill Iii, D.D.S., B.SC. Dentist Medicare: Not Enrolled in Medicare Practice Location: 19365 7th Ave Ne, Suite 106, Poulsbo, WA 98370 Phone: 360-697-5818 Fax: 360-697-6504 |