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DR. SHELLY SELF DMD
NPI 1336280957
Dentist - Pediatric Dentistry in Poulsbo, WA

Active since February 08, 2007
19365 7TH AVE NE, SUITE D108, POULSBO, WA 98370(360) 779-7115(360) 779-3990 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shelly Self Dmd NPPES

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

DR. SHELLY SELF DMD (NPI 1336280957) is an individual pediatric dentistry provider in Poulsbo, Washington, licensed in Washington (DE10256) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1336280957
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SHELLY SELFCredential: DMD
Location Address19365 7TH AVE NE, SUITE D108Poulsbo, WA 98370-7441
Mailing Address9902 Ne Monsaas RdBainbridge Island, WA 98110-1103 · (360) 464-0990
Phone(360) 779-7115
Fax(360) 779-3990
Sole ProprietorYes
Enumeration DateFebruary 8, 2007
Last NPPES UpdateMay 20, 2014
✔ NPI 1336280957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WA · DE10256
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE00010256 (WA)
19365 7TH AVE NE, Poulsbo, WA 98370
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Other Names 1

Former Name (1)Miss Shelly Sin

Other Identifiers 2

Medicaid1008098WA
Medicaid2035573WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES R BROWN D.D.S
Dentist (Pediatric Dentistry)
19365 7TH AVE NE, BLDG D SUITE 108
POULSBO, WA 98370
Kitsap County (360) 779-7115
DR. KIM KEVIN PULVER DDS
Dentist (General Practice)
19365 7TH AVE NE, SUITE 106
POULSBO, WA 98370
Kitsap County (360) 697-5818
BARRETT & KUSHNER PLLC
Dentist (General Practice)
19365 7TH AVE NE, SUITE 114
POULSBO, WA 98370
Kitsap County (360) 779-7711
SCOTT A. BROADBENT, D.D.S, P.S.
Dentist (General Practice)
19365 7TH AVE NE, SUITE 110
POULSBO, WA 98370
Kitsap County (360) 697-3331
SHELLY SELF DMD PLLC
Clinic/Center (Dental)
19365 7TH AVE NE, SUITE D 108
POULSBO, WA 98370
Kitsap County (360) 779-7115
DR. PATRICK EDWARD BARRETT DDS
Dentist
19365 7TH AVE NE, SUITE 114
POULSBO, WA 98370
Kitsap County (360) 779-7711

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 Self's NPI number?

The NPI number for Shelly Self is 1336280957. It was assigned to this individual provider in the NPPES registry on February 8, 2007. The provider is also known as Miss Shelly Sin.

Where is Shelly Self located?

Shelly Self practices at 19365 7th Ave NE Suite D108, Poulsbo, WA 98370. The listed phone number is (360) 779-7115.

What is Shelly Self's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Shelly Self accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Shelly Self as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Self was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.