Brent Olson, Dds, Pllc in Mankato - General Practice

Brent Olson, Dds, Pllc - NPI 1215184346

Brent Olson, Dds, Pllc is a General Practice in Mankato, Minnesota. Brent Olson, Dds, Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brent Olson, Dds, Pllc is 1215184346. The last update date is 2008-08-20.

Brent Olson, Dds, Pllc's current location address is 730 E Madison Ave, Mankato, Minnesota. You can contact this provider via phone number 5076257550 and fax number 5073883353. The mailing address for Brent Olson, Dds, Pllc is 730 E Madison Ave, Mankato, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brent Olson, Dds, Pllc
Address 730 E Madison Ave, Mankato, Minnesota
Phone Number 5076257550
Fax Number 5073883353
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DR.
Authorized Official Name Olson Willard Brent
Credentials M.D.
Telephone Number 5076257550

NPI Number Detail

NPI Number 1215184346
Provider Enumeration Date 2008-08-20
Last Updated Date 2008-08-20

Provider Mailing Address Detail

Address 730 E Madison Ave
City Mankato
State Minnesota (MN)
Post Code 560016100
Phone Number 5076257550
Fax Number 5073883353

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D12094
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 Brent Olson, Dds, Pllc

What is the Brent Olson, Dds, Pllc's unique identification number?

The Brent Olson, Dds, Pllc has been assigned the NPI (National Provider Identifier) Number 1215184346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Brent Olson, Dds, Pllc?

The Brent Olson, Dds, Pllc is situated at 730 E Madison Ave, in the city of Mankato, state of MN, with the zip code 560016100.

What is Brent Olson, Dds, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brent Olson, Dds, Pllc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Brent Olson, Dds, Pllc receive the assignment of its 1215184346 from the Centers for Medicare & Medicaid Services?

The Brent Olson, Dds, Pllc was issued its 1215184346 by the Centers for Medicare & Medicaid Services on 2008-08-20.

When was the information pertaining to Brent Olson, Dds, Pllc most recently updated or revised?

The details related to Brent Olson, Dds, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-20.

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