Blake Jerome Olson in Redway - General Practice
Blake Jerome Olson - NPI 1023290301
Blake Jerome Olson is a General Practice in Redway, California. Blake Jerome Olson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Blake Jerome Olson is 1023290301. The last update date is 2007-11-29.
Blake Jerome Olson's current location address is 101 Westcoast Road, Redway, California. You can contact this provider via phone number 7079534313 and fax number 7079232590. The mailing address for Blake Jerome Olson is 101 Westcoast Road, Redway, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake Jerome Olson |
|---|---|
| Address | 101 Westcoast Road, Redway, California |
| Phone Number | 7079534313 |
| Fax Number | 7079232590 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1023290301 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 101 Westcoast Road |
|---|---|
| City | Redway |
| State | California (CA) |
| Post Code | 95560 |
| Phone Number | 7079534313 |
| Fax Number | 7079232590 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 56610 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Blake Jerome Olson's 1023290301?
The Blake Jerome Olson's NPI (National Provider Identifier) Number is 1023290301. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Blake Jerome Olson's physical address?
The Blake Jerome Olson is physically located at 101 Westcoast Road, in the city of Redway, CA, with the postal code 95560.
What is the Blake Jerome Olson's specialty and taxonomy code?
The Blake Jerome Olson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did the Blake Jerome Olson receive its 1023290301?
The Blake Jerome Olson was issued its 1023290301 on 2007-11-29, which is the date when the organization was assigned this unique identifier.
When was the information regarding Blake Jerome Olson most recently updated?
The details pertaining to the Blake Jerome Olson, including its address, specialty, and other relevant information, were last refreshed on 2007-11-29.