Mark S. Oliverson, D.M.D. in Salmon - Dental
Mark S. Oliverson, D.M.D. - NPI 1801058862
Mark S. Oliverson, D.M.D. is a Dental in Salmon, Idaho. Mark S. Oliverson, D.M.D. practices all healthcare services and medical treatments related to Dental. The NPI Number for Mark S. Oliverson, D.M.D. is 1801058862. The last update date is 2014-10-09.
Mark S. Oliverson, D.M.D.'s current location address is 207 Margaret St, Salmon, Idaho. You can contact this provider via phone number 2087562262 and fax number 2087564473. The mailing address for Mark S. Oliverson, D.M.D. is 207 Margaret St, Salmon, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark S. Oliverson, D.M.D. |
|---|---|
| Address | 207 Margaret St, Salmon, Idaho |
| Phone Number | 2087562262 |
| Fax Number | 2087564473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GENERAL DE |
|---|---|
| Authorized Official Name | Oliverson S. Mark |
| Credentials | D.M.D. |
| Telephone Number | 2087562262 |
NPI Number Detail
| NPI Number | 1801058862 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2014-10-09 |
Provider Mailing Address Detail
| Address | 207 Margaret St |
|---|---|
| City | Salmon |
| State | Idaho (ID) |
| Post Code | 834674400 |
| Phone Number | 2087562262 |
| Fax Number | 2087564473 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D-4013 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807527500 | ID | -- | |
| 9202414 | ID | IDAHO SMILES |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark S. Oliverson, D.M.D. by the Centers for Medicare & Medicaid Services?
The Mark S. Oliverson, D.M.D. has been assigned the NPI (National Provider Identifier) 1801058862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Mark S. Oliverson, D.M.D. is located?
The Mark S. Oliverson, D.M.D. is situated at the following address: 207 Margaret St, Salmon, ID, 834674400.
What is the area of specialization for Mark S. Oliverson, D.M.D., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark S. Oliverson, D.M.D. is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
When was the Mark S. Oliverson, D.M.D.'s 1801058862 issued?
The Mark S. Oliverson, D.M.D.'s 1801058862 was issued on 2008-06-30.
As of what date was the information regarding Mark S. Oliverson, D.M.D., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark S. Oliverson, D.M.D., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-09.