DR. SHELLY REA SULLENS DMD
NPI 1124266804
Dentist in Canyonville, OR

Q: What is Shelly Sullens's NPI number?

The NPI number for Shelly Sullens is 1124266804. It was assigned to this individual provider in the NPPES registry on February 3, 2009.

Q: What is Shelly Sullens's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Sullens was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 03, 2009

121 SW 5TH ST, CANYONVILLE, OR 97417(888) 468-0022(541) 504-3907 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Shelly Rea Sullens Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHELLY REA SULLENS DMD (NPI 1124266804) is an individual dentist in Canyonville, Oregon, licensed in Oregon (D6207) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1124266804

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SHELLY REA SULLENSCredential: DMD

Location Address121 SW 5TH STCanyonville, OR 97417-8718

Mailing Address442 Sw Umatilla Ave, Suite 200Redmond, OR 97756-7039 · (541) 504-3900 · Fax (541) 504-3907

Phone(888) 468-0022

Fax(541) 504-3907

Sole ProprietorNo

Enumeration DateFebruary 3, 2009

Last NPPES UpdateJune 23, 2015

✔ NPI 1124266804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D6207

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

121 SW 5TH ST, Canyonville, OR 97417

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Sullens's NPI number?

The NPI number for Shelly Sullens is 1124266804. It was assigned to this individual provider in the NPPES registry on February 3, 2009.

Where is Shelly Sullens located?

Shelly Sullens practices at 121 SW 5th St, Canyonville, OR 97417. The listed phone number is (888) 468-0022.

What is Shelly Sullens's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shelly Sullens was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.