Mark Gregory Olson in North Branch - Dentist
Mark Gregory Olson - NPI 1871646588
Mark Gregory Olson is a Dentist in North Branch, Minnesota. Mark Gregory Olson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Gregory Olson is 1871646588. The last update date is 2017-11-20.
Mark Gregory Olson's current location address is 10645 Saint Croix Trl, North Branch, Minnesota. You can contact this provider via phone number 6516741874. The mailing address for Mark Gregory Olson is 10645 Saint Croix Trl, North Branch, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Gregory Olson |
|---|---|
| Address | 10645 Saint Croix Trl, North Branch, Minnesota |
| Phone Number | 6516741874 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1871646588 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2017-11-20 |
Provider Mailing Address Detail
| Address | 10645 Saint Croix Trl |
|---|---|
| City | North Branch |
| State | Minnesota (MN) |
| Post Code | 550566775 |
| Phone Number | 6516741874 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8373 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Mark Gregory Olson by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Gregory Olson has been assigned the NPI (National Provider Identifier) 1871646588. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Mark Gregory Olson's facilities are geographically located?
The facilities of Mark Gregory Olson are physically situated at the following location: 10645 Saint Croix Trl, North Branch, MN, 550566775.
What is Mark Gregory Olson'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 Gregory Olson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871646588 to Mark Gregory Olson?
The Centers for Medicare & Medicaid Services originally issued the 1871646588 to Mark Gregory Olson on 2007-01-18.
When was the Mark Gregory Olson's information last updated?
The Mark Gregory Olson's information was last updated on 2017-11-20.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC