DR. Blake Jerome Olson, D.D.S. is a general practice dentist in Redway, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Blake Jerome Olson, D.D.S. NPI is 1023290301. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
101 WESTCOAST RD.
REDWAY, CA
ZIP 95560
Phone: (707) 923-4313
Fax: (707) 923-2590
The NPI 1023290301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/29/2007 and was last updated on 11/29/2007.