MARK S. OLIVERSON D.M.D. NPI 1801058862

NPI Information

  • NPI: 1801058862
  • Provider Name: MARK S. OLIVERSON, D.M.D.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: SALMON DENTAL CENTER PLLC
  • Address: 207 MARGARET ST
    SALMON, ID
    ZIP 83467
  • Phone: (208) 756-2262

Map and Directions

Get Directions

NPI Details

MARK S. OLIVERSON, D.M.D. is a dental clinic center in Salmon, ID. MARK S. OLIVERSON, D.M.D. NPI is 1801058862. The provider is registered as an organization entity type.
The provider Is Doing Business As Salmon Dental Center Pllc.

The provider's business location address is:

207 MARGARET ST
SALMON, ID
ZIP 83467-400
Phone: (208) 756-2262
Fax: (208) 756-4473

The provider's authorized official is Mark S. Oliverson .
The authorized official title is General Dentist and has the following contact phone number (208) 756-2262.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 10/9/2014.

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
1261QD0000XClinic/CenterDentalD-4013IDAHOYes

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
19202414OTHERIDAHOIDAHO SMILES
2807527500MEDICAIDIDAHO

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI