Shull Family Dentistry

NPI #1407416746 in Salem, Oregon

Provider Information

NPI Number: 1407416746
Entity Type: Organization
Organization Name: Shull Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Jun 18, 2019
Last Updated: Jul 23, 2019

Practice Location

Address: 1211 LIBERTY ST SE
City: Salem
State: Oregon
ZIP Code: 97302-4243
Phone: (503) 362-5019

Authorized Official

Name: DR. LEVI JAMES-OLIVER SHULL, DMD
Title: OWNER
Phone: (971) 269-8004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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