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DR. EDWARD LAWRENCE OLSON DDS NPI 1417092016


NPI Information

NPI: 1417092016
Provider Name: DR. EDWARD LAWRENCE OLSON, DDS
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

PECOS Registration: Yes

Address:
816 W ST GERMAIN ST
SUITE 502
ST CLOUD, MN
ZIP 56301
Phone: (320) 253-9868
Get Directions

DR. Edward Lawrence Olson, DDS is a prosthodontics dentist in St Cloud, MN. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Edward Lawrence Olson, DDS NPI is 1417092016. 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:

816 W ST GERMAIN ST
SUITE 502
ST CLOUD, MN
ZIP 56301
Phone: (320) 253-9868
Fax: (320) 255-0033

The NPI 1417092016 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 2/21/2007 and was last updated on 7/8/2007.


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
11223P0700XDentistProsthodonticsMN7908MINNESOTAYes

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: 5/5/2024

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