OrganizationActive
Shelly Self DMD PLLC
NPI 1780003723 · Dental Clinic/Center · Poulsbo, WA
Provider details
- NPI number
- 1780003723
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mckinley Self, Manager(360) 464-0779
- License
- DE10256 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19365 7th Ave Ne
Suite D 108
Poulsbo, WA 98370-7441
Phone: (360) 779-7115
Fax: (360) 779-3990
Street-level locationGet directions
Mailing address
19365 7th Ave Ne
Poulsbo, WA 98370-7441
Other names (DBA / former)
- Doing business as
- Poulsbo Children'S Dentistry
Registry dates
- Enumerated
- 2014-04-07
- Last updated
- 2014-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.