Shelly Self Dmd Pllc is a renowned Dental office in Poulsbo, Washington. It is located at 19365 7th Ave Ne, Suite D 108, Poulsbo, WA and its contact number is 360-779-7115. The authorized person for Shelly Self Dmd Pllc is Mckinley T Self
who is Manager of the place and their contact number is 360-464-0779. The primary license number for Shelly Self Dmd Pllc is DE10256 (Dental) in Washington.
Shelly Self Dmd Pllc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Shelly Self Dmd Pllc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Shelly Self Dmd Pllc
Specialization:
Dentistry
Address:
19365 7th Ave Ne, Suite D 108, Poulsbo, Washington, 98370-7441
Phone:
360-779-7115
Fax:
360-779-3990
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
Name:
Mckinley T Self
Position:
Manager
Contact Number:
360-464-0779
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shelly Self Dmd Pllc Office are as mentioned below.
NPI Number:
1780003723
NPI Enumeration Date:
07 Apr, 2014
NPI Last Update On:
07 Apr, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shelly Self Dmd Pllc are as mentioned below.
Specialization
License Number
State
Status
Dental
DE10256
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5003603
Medicaid
Washington
1008098
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shelly Self Dmd Pllc 19365 7th Ave Ne, Suite D 108 Poulsbo, Washington
Zip:
98370-7441
Phone Number:
360-779-7115
Fax Number:
360-779-3990
Patients can reach Shelly Self Dmd Pllc at 19365 7th Ave Ne, Suite D 108, Poulsbo, Washington or can call to book an appointment on 360-779-7115. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.