Provider Demographics
NPI:1023697893
Name:SOMLAR, SHELLY LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:SHELLY
Middle Name:LYNN
Last Name:SOMLAR
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 1:1990 K ST NW STE 15B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1105
Mailing Address - Country:US
Mailing Address - Phone:202-775-0022
Mailing Address - Fax:
Practice Address - Street 1:1990 K ST NW STE 15B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1105
Practice Address - Country:US
Practice Address - Phone:202-775-0022
Practice Address - Fax:202-775-3711
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1002158122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist