Shull Family Dentistry

LBN: Shull Family Dentistry
Shull Family Dentistry is an health care organization with primary practice located at 1211 Liberty St Se , Salem OR 97302-4243. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Shull Family Dentistry can be contacted via phone (503) 362-5019, or through Shull, Levi James-Oliver via phone (971) 269-8004.

Contact Information

Primary practice address
1211 Liberty St Se Salem OR 97302-4243
Phone: (503) 362-5019
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shull, Levi James-Oliver Doctor of Dental Medicine (DMD)
Phone: (971) 269-8004

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1407416746
LBN Legal business name Shull Family Dentistry
DBA Doing business as
Authorized official Shull, Levi James-Oliver Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2019
Last updated Jul 23rd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407416746 NPPES
Other 140728500 OWNER

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