David Leonard Olsen in Appleton - Orthodontics And Dentofacial Orthopedics
David Leonard Olsen - NPI 1205922861
David Leonard Olsen is a Orthodontics And Dentofacial Orthopedics in Appleton, Wisconsin. David Leonard Olsen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for David Leonard Olsen is 1205922861. The last update date is 2007-07-08.
David Leonard Olsen's current location address is 145 W. Calumet St., Appleton, Wisconsin. You can contact this provider via phone number 9207312777 and fax number 9207333402. The mailing address for David Leonard Olsen is 145 W. Calumet St., Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Leonard Olsen |
|---|---|
| Address | 145 W. Calumet St., Appleton, Wisconsin |
| Phone Number | 9207312777 |
| Fax Number | 9207333402 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1205922861 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 145 W. Calumet St. |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549154934 |
| Phone Number | 9207312777 |
| Fax Number | 9207333402 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 2491 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Could you provide the complete physical address where David Leonard Olsen is located?
The David Leonard Olsen is situated at the following address: 145 W. Calumet St., Appleton, WI, 549154934.
What is David Leonard Olsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Leonard Olsen's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did David Leonard Olsen receive its 1205922861 assignment from the Centers for Medicare & Medicaid Services?
The David Leonard Olsen was assigned its 1205922861 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1205922861 to David Leonard Olsen?
The Centers for Medicare & Medicaid Services assigned the 1205922861 to David Leonard Olsen on 2006-10-04.
As of what date was the information regarding David Leonard Olsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Leonard Olsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY