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

NPI Information

NPI: 1801058862
Provider Name: MARK S. OLIVERSON, D.M.D.

Doing Business As: SALMON DENTAL CENTER PLLC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
207 MARGARET ST
SALMON, ID
ZIP 83467
Phone: (208) 756-2262
Get Directions

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
1	261QD0000X	Clinic/Center	Dental	D-4013	IDAHO	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	9202414	OTHER	IDAHO	IDAHO SMILES
2	807527500	MEDICAID	IDAHO

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

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 »