Mitchell Scott Olson in Hayden - General Practice
Mitchell Scott Olson - NPI 1700992146
Mitchell Scott Olson is a General Practice in Hayden, Idaho. Mitchell Scott Olson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mitchell Scott Olson is 1700992146. The last update date is 2023-06-26.
Mitchell Scott Olson's current location address is 8636 N. Wayne Dr., Hayden, Idaho. You can contact this provider via phone number 2087621555 and fax number 2082623931. The mailing address for Mitchell Scott Olson is 8636 N. Wayne Dr., Hayden, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Scott Olson |
|---|---|
| Address | 8636 N. Wayne Dr., Hayden, Idaho |
| Phone Number | 2087621555 |
| Fax Number | 2082623931 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1700992146 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2023-06-26 |
Provider Mailing Address Detail
| Address | 8636 N. Wayne Dr. |
|---|---|
| City | Hayden |
| State | Idaho (ID) |
| Post Code | 83835 |
| Phone Number | 2087621555 |
| Fax Number | 2082623931 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | ADA073900774 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3553700 | ID | -- |
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What is the Mitchell Scott Olson's unique identification number?
The Mitchell Scott Olson has been assigned the NPI (National Provider Identifier) Number 1700992146 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mitchell Scott Olson located?
The Mitchell Scott Olson is located at 8636 N. Wayne Dr., Hayden, ID 83835.
What is Mitchell Scott Olson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mitchell Scott Olson is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When was the Mitchell Scott Olson's 1700992146 issued?
The Mitchell Scott Olson's 1700992146 was issued on 2006-08-21.
When was the Mitchell Scott Olson's information last updated?
The Mitchell Scott Olson's information was last updated on 2023-06-26.