DR. SHELLY SELF (DMD) – Pediatric Dentistry, NPI 1336280957

DR. SHELLY SELF (DMD) is a healthcare provider. based in Bainbridge island, Washington. specializing in Pediatric Dentistry. They hold the professional credentials DMD. They hold a License No. DE00010256 (WA). The NPI Number for DR. SHELLY SELF (DMD) is 1336280957

Main info

Female
Sole Proprietor
Name
DR. SHELLY SELF (DMD)
NPI
1336280957
Phone
(360) 464-0990
Address
9902 NE MONSAAS RD
Enumeration Date
8 February 2007
Last Update Date
20 May 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. SHELLY SELF (DMD)

  • 9902 NE MONSAAS RD

    BAINBRIDGE ISLAND, WA 981101103

    Phone: (360) 464-0990

    Type: Mailing

  • 19365 7TH AVE NE

    SUITE D108

    POULSBO, WA 983707441

    Phone: (360) 779-7115

    Fax: (360) 779-3990

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $663.

Total Amount is formed as General ($663) + Research ($0) + Ownership ($0) = $663.

Last reported payment date: 2023-09-22 • Largest payer in this snapshot: Ultradent Products Inc ($648).

Total Amount

$663

General + Research + Ownership

Payments

8

Total payment records

General Amount

$663

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-22

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98110)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SHELLY SELF (DMD)?
DR. SHELLY SELF (DMD) — NPI 1336280957 — is the standard way to identify this listing.
Is DR. SHELLY SELF (DMD) still practicing?
DR. SHELLY SELF (DMD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. SHELLY SELF (DMD)?
For research purposes, treat DR. SHELLY SELF (DMD) as Pediatric Dentistry in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. SHELLY SELF (DMD) list a practice location?
Patients near Bainbridge Island, Washington may find DR. SHELLY SELF (DMD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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