OLSON DENTAL ASSOCIATES P.S.C. NPI 1518298660

NPI Information

NPI: 1518298660
Provider Name: OLSON DENTAL ASSOCIATES P.S.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
393 DUNLAP ST N
SUITE 308
SAINT PAUL, MN
ZIP 55104
Phone: (651) 788-7045
Get Directions

OLSON DENTAL ASSOCIATES P.S.C. is a dental clinic center in Saint Paul, MN. OLSON DENTAL ASSOCIATES P.S.C. NPI is 1518298660. The provider is registered as an organization entity type.

The provider's business location address is:

393 DUNLAP ST N
SUITE 308
SAINT PAUL, MN
ZIP 55104-200
Phone: (651) 788-7045

The provider's authorized official is Kenneth M Olson .
The authorized official title is Owner and has the following contact phone number (651) 788-7045.

The enumeration date for this NPI number is 1/28/2010 and was last updated on 1/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	8085	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1235322504	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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