Carol Shelton, DMD RDH
Dentist, General Practice in Umatilla, OR. Individual provider (NPI-1).
NPI number1003985482
StatusActive
Last updated in NPPESApr 20, 2020
Details
- NPI
- 1003985482
- Entity type
- Individual (NPI-1)
- Name
- Carol Shelton
- Credential
- DMD RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2006
- Certification date
- Apr 20, 2020
- Last updated
- Apr 20, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D7946 | OR | Yes |
Practice location
82911 Beach Access Rd. (Two Rivers Correctional Inst.)Umatilla, OR 97882
Phone 541-922-6032 · Fax 541-922-6008
Mailing address
82911 Beach Access RdUmatilla, OR 97882-9419
Phone 541-922-6032
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