Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Shelly Rea Sullens, DMD
Dentist in Canyonville, OR · enumerated 2009.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1124266804
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Registry record
Entity type Individual (Type 1)
Name Dr. Shelly Rea Sullens
Credential DMD
Sex Female
Practice address 121 Sw 5th St, Canyonville, OR, 97417
Phone (888) 468-0022
Fax (541) 504-3907
Enumeration date Feb 3, 2009
Last updated in NPPES Jun 23, 2015
Taxonomy & licenses
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees.
About the DMD credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Shelly Sullens?
The National Provider Identifier (NPI) for Shelly Sullens is 1124266804, a Type 1 (individual) record in the CMS NPPES registry.
Where does Shelly Sullens practice?
The practice location on file with NPPES is in Canyonville, OR. Providers can have multiple locations; NPPES lists the primary practice address.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-23.