SUSAN OLSON DMD INC NPI 1740745439

NPI Information

NPI: 1740745439
Provider Name: SUSAN OLSON DMD INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3261 S. BIG LAKE RD. STE D3-D4
BIG LAKE, AK
ZIP 99652
Phone: (907) 892-5669
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SUSAN OLSON DMD INC is a dental clinic center in Big Lake, AK. SUSAN OLSON DMD INC NPI is 1740745439. The provider is registered as an organization entity type.

The provider's business location address is:

3261 S. BIG LAKE RD. STE D3-D4
BIG LAKE, AK
ZIP 99652
Phone: (907) 892-5669

The provider's authorized official is Susan Olson .
The authorized official title is Dentist and has the following contact phone number (949) 748-0710.

The enumeration date for this NPI number is 2/6/2019 and was last updated on 2/6/2019.

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			Yes

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: 11/14/2023

NPI Synchronization or Removal

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