Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelly Self DMD PLLC

Organization Dental Clinic/Center · NPI 1780003723

Shelly Self DMD PLLC is a Dental Clinic/Center in Poulsbo, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19365 7th Ave NE Ste D 108
Poulsbo, WA 98370-7441
Phone: (360) 779-7115
Fax: (360) 779-3990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DE10256 (WA)

Record details

NPI number1780003723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official McKinley Self — Manager · (360) 464-0779
Other names Poulsbo Children'S Dentistry
NPI enumeratedApril 7, 2014
Last updated in NPPESApril 7, 2014
Mailing address19365 7th Ave Ne, Suite D 108, Poulsbo, WA 98370-7441

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