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

Dr. Shelly Rea Sullens, DMD

Individual provider Dentist · NPI 1124266804

Dr. Shelly Rea Sullens, DMD is a Dentist in Canyonville, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

121 SW 5th St
Canyonville, OR 97417-8718
Phone: (888) 468-0022
Fax: (541) 504-3907
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D6207 (OR)

Record details

NPI number1124266804
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 3, 2009
Last updated in NPPESJune 23, 2015

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