Provider Demographics
NPI:1932160553
Name:PIER, SHAUNA LEE (DDS)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:LEE
Last Name:PIER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:503-845-2616
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD70811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice