Mark S Oliverson is a Dentist in Salmon, Idaho. Mark S Oliverson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark S Oliverson is 1689797458. The last update date is 2014-10-09.
Mark S Oliverson's current location address is 207 Margaret St, Salmon, Idaho. You can contact this provider via phone number 2087562262 and fax number 2087564473. The mailing address for Mark S Oliverson is 207 Margaret St, Salmon, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark S Oliverson |
|---|---|
| Address | 207 Margaret St, Salmon, Idaho |
| Phone Number | 2087562262 |
| Fax Number | 2087564473 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1689797458 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2014-10-09 |
Provider Mailing Address Detail
| Address | 207 Margaret St |
|---|---|
| City | Salmon |
| State | Idaho (ID) |
| Post Code | 834674400 |
| Phone Number | 2087562262 |
| Fax Number | 2087564473 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D4013 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807527500 | ID | -- |
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What is the Mark S Oliverson's 1689797458?
The Mark S Oliverson's NPI (National Provider Identifier) Number is 1689797458. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark S Oliverson located?
The Mark S Oliverson is located at 207 Margaret St, Salmon, ID 834674400.
What is Mark S Oliverson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark S Oliverson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Mark S Oliverson's 1689797458 issued?
The Mark S Oliverson's 1689797458 was issued on 2007-04-09.
As of what date were the details pertaining to Mark S Oliverson last refreshed?
The information related to the Mark S Oliverson, including its address, specialty, and other relevant details, was last updated on 2014-10-09.