Provider Demographics
NPI:1629039250
Name:SHAUNA L PIER DDS PC
Entity Type:Organization
Organization Name:SHAUNA L PIER DDS PC
Other - Org Name:MOUNT ANGEL DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAUNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:503-845-6891
Mailing Address - Street 1:PO BOX 770
Mailing Address - Street 2:
Mailing Address - City:MOUNT ANGEL
Mailing Address - State:OR
Mailing Address - Zip Code:97362-0770
Mailing Address - Country:US
Mailing Address - Phone:503-845-6891
Mailing Address - Fax:
Practice Address - Street 1:310 CHARLES ST
Practice Address - Street 2:
Practice Address - City:MOUNT ANGEL
Practice Address - State:OR
Practice Address - Zip Code:97362-9635
Practice Address - Country:US
Practice Address - Phone:503-845-6891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental