Shelton, Carol
Shelton, Carol is an individual health care provider with primary practice located at 82911 Beach Access Rd. (Two Rivers Correctional Inst.) , Umatilla OR 97882. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shelton, Carol can be contacted via phone (541) 922-6032.Contact Information
Primary practice address
82911 Beach Access Rd. (Two Rivers Correctional Inst.)
Umatilla OR 97882
Phone: (541) 922-6032
Fax: (541) 922-6008
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D7946 | Oregon |
Profile Details
NPI number | 1003985482 |
---|---|
LBN Legal business name | Shelton, Carol |
Credentials | DMD RDH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2006 |
Last updated | Apr 20th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003985482 | NPPES |
Oregon | MEDICAID | 247952 |
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