Healthcare Provider Details

I. General information

NPI: 1629039250
Provider Name (Legal Business Name): SHAUNA L PIER DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 CHARLES ST
MOUNT ANGEL OR
97362-9635
US

IV. Provider business mailing address

PO BOX 770
MOUNT ANGEL OR
97362-0770
US

V. Phone/Fax

Practice location:
  • Phone: 503-845-6891
  • Fax:
Mailing address:
  • Phone: 503-845-6891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHAUNA LEE PIER
Title or Position: PRESIDENT
Credential: DDS
Phone: 503-845-6891