Bradley J Olson in Waldorf - General Practice

Bradley J Olson - NPI 1083772123

Bradley J Olson is a General Practice in Waldorf, Maryland. Bradley J Olson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley J Olson is 1083772123. The last update date is 2007-07-08.

Bradley J Olson's current location address is 3450 Old Washington Rd, Waldorf, Maryland. You can contact this provider via phone number 3016456611 and fax number 3018433069. The mailing address for Bradley J Olson is 3450 Old Washington Rd, Waldorf, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley J Olson
Address 3450 Old Washington Rd, Waldorf, Maryland
Phone Number 3016456611
Fax Number 3018433069
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1083772123
Provider Enumeration Date 2006-12-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3450 Old Washington Rd
City Waldorf
State Maryland (MD)
Post Code 20602
Phone Number 3016456611
Fax Number 3018433069

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8391
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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FAQs about Bradley J Olson

What is the unique 10-digit identifier code issued to Bradley J Olson by the Centers for Medicare & Medicaid Services?

The Bradley J Olson has been assigned the NPI (National Provider Identifier) 1083772123 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Bradley J Olson is physically located?

The Bradley J Olson is situated at the following address: 3450 Old Washington Rd, Waldorf, MD 20602.

What is Bradley J 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 Bradley J Olson is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Bradley J Olson receive the assignment of its 1083772123 from the Centers for Medicare & Medicaid Services?

The Bradley J Olson was issued its 1083772123 by the Centers for Medicare & Medicaid Services on 2006-12-04.

When was the information pertaining to Bradley J Olson most recently updated or revised?

The details related to Bradley J Olson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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