Eric M Olson is a Prosthodontics in Jacksonville, Florida. Eric M Olson practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Eric M Olson is 1083678262. The last update date is 2022-01-05.
Eric M Olson's current location address is 2078 Rogero Rd, Jacksonville, Florida. You can contact this provider via phone number 9047439222 and fax number 9047454004. The mailing address for Eric M Olson is 2078 Rogero Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric M Olson |
|---|---|
| Address | 2078 Rogero Rd, Jacksonville, Florida |
| Phone Number | 9047439222 |
| Fax Number | 9047454004 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1083678262 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2022-01-05 |
Provider Mailing Address Detail
| Address | 2078 Rogero Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322114119 |
| Phone Number | 9047439222 |
| Fax Number | 9047454004 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 9689 |
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Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 629935 | FL | UNITED CONCORDIA PROVIDER | |
| 67256 | FL | BCBS PROVIDER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eric M Olson?
The Eric M Olson has been issued the NPI (National Provider Identifier) 1083678262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Eric M Olson?
The Eric M Olson is physically situated at 2078 Rogero Rd, in the city of Jacksonville, state of FL, with the postal code 322114119.
What is the Eric M Olson's area of specialization and corresponding taxonomy classification?
The Eric M Olson's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
On what date did Eric M Olson receive its 1083678262 assignment from the Centers for Medicare & Medicaid Services?
The Eric M Olson was assigned its 1083678262 on 2006-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Eric M Olson last refreshed?
The information related to the Eric M Olson, including its address, specialty, and other relevant details, was last updated on 2022-01-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY