Clyde Brook Olson in Roy - General Practice

Clyde Brook Olson - NPI 1033258272

Clyde Brook Olson is a General Practice in Roy, Utah. Clyde Brook Olson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clyde Brook Olson is 1033258272. The last update date is 2007-07-08.

Clyde Brook Olson's current location address is 4902 S 1900 W, Roy, Utah. You can contact this provider via phone number 8017761240. The mailing address for Clyde Brook Olson is 4902 S 1900 W, Roy, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Clyde Brook Olson
Address 4902 S 1900 W, Roy, Utah
Phone Number 8017761240
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1033258272
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4902 S 1900 W
City Roy
State Utah (UT)
Post Code 840672993
Phone Number 8017761240
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 133716
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 Clyde Brook Olson

What is the Clyde Brook Olson's unique identification number?

The Clyde Brook Olson has been assigned the NPI (National Provider Identifier) Number 1033258272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Clyde Brook Olson is physically located?

The Clyde Brook Olson is physically situated at the following address: 4902 S 1900 W, Roy, UT, 840672993.

What is the Clyde Brook Olson's specialty and taxonomy code?

The Clyde Brook Olson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When did the Clyde Brook Olson receive its 1033258272?

The Clyde Brook Olson was issued its 1033258272 on 2007-02-05, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Clyde Brook Olson most recently updated or revised?

The information pertaining to Clyde Brook Olson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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