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POULSBO CHILDREN'S DENTISTRY
NPI 1780003723
Clinic/Center - Dental in Poulsbo, WA

Active since April 07, 2014
19365 7TH AVE NE, SUITE D 108, POULSBO, WA 98370(360) 779-7115(360) 779-3990 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Poulsbo Children's Dentistry NPPES

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

POULSBO CHILDREN'S DENTISTRY (NPI 1780003723) is a healthcare organization registered as a dental in Poulsbo, Washington and active in the NPI registry since April 2014. The organization lists Mckinley T Self, Manager, as its authorized official.

NPPES Registry Identity

NPI1780003723
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHELLY SELF DMD PLLC
Location Address19365 7TH AVE NE, SUITE D 108Poulsbo, WA 98370-7441
Mailing Address19365 7th Ave Ne, Suite D 108Poulsbo, WA 98370-7441 · (360) 779-7115 · Fax (360) 779-3990
Phone(360) 779-7115
Fax(360) 779-3990
Organization SubpartNo
Authorized OfficialMckinley T SelfManager · (360) 464-0779
Enumeration DateApril 7, 2014
✔ NPI 1780003723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in WA · DE10256
19365 7TH AVE NE, Poulsbo, WA 98370
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Other Names 1

Doing Business AsPoulsbo Children's Dentistry

Other Identifiers 2

Medicaid5003603WA
Medicaid1008098WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. SHELLY SELF DMD
Dentist (Pediatric Dentistry)
19365 7TH AVE NE, SUITE D108
POULSBO, WA 98370
Kitsap County (360) 779-7115
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
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 Dmd PLLC's NPI number?

The NPI number for Shelly Self Dmd PLLC is 1780003723. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is doing business as Poulsbo Children's Dentistry.

Where is Shelly Self Dmd PLLC located?

Shelly Self Dmd PLLC is located at 19365 7th Ave NE Suite D 108, Poulsbo, WA 98370. The listed phone number is (360) 779-7115.

What is Shelly Self Dmd PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Shelly Self Dmd PLLC accept?

Health plans from UnitedHealthcare list Shelly Self Dmd PLLC 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 Dmd PLLC was last updated on April 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.