MEDICARE: SHAUNA L PIER DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1629039250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAUNA L PIER DDS PC

Provider Business Mailing Address
First Line	:	PO BOX 770
Second Line	:
City	:	MOUNT ANGEL
State	:	OR
Zip	:	97362-0770
Country	:	US
Telephone Number	:	503-845-6891
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 CHARLES ST
Second Line	:
City	:	MOUNT ANGEL
State	:	OR
Zip	:	97362-9635
Country	:	US
Telephone Number	:	503-845-6891
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHAUNA LEE PIER
Credential	:	DDS
Telephone Number	:	503-845-6891

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	08/22/2020

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