Mitchell Olson, Dds Pa in Bloomington - Dental
Mitchell Olson, Dds Pa - NPI 1114050432
Mitchell Olson, Dds Pa is a Dental in Bloomington, Minnesota. Mitchell Olson, Dds Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Mitchell Olson, Dds Pa is 1114050432. The last update date is 2020-08-22.
Mitchell Olson, Dds Pa's current location address is 8400 Lyndale Ave S Ste 8, Bloomington, Minnesota. You can contact this provider via phone number 9528841308 and fax number 9528843445. The mailing address for Mitchell Olson, Dds Pa is 8400 Lyndale Ave S Ste 8, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mitchell Olson, Dds Pa |
|---|---|
| Address | 8400 Lyndale Ave S Ste 8, Bloomington, Minnesota |
| Phone Number | 9528841308 |
| Fax Number | 9528843445 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Olson Brenton Mitchell |
| Credentials | D.D.S., P. |
| Telephone Number | 9528841308 |
NPI Number Detail
| NPI Number | 1114050432 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8400 Lyndale Ave S Ste 8 |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554202790 |
| Phone Number | 9528841308 |
| Fax Number | 9528843445 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique identifier code issued to Mitchell Olson, Dds Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Mitchell Olson, Dds Pa has been assigned the NPI (National Provider Identifier) 1114050432. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mitchell Olson, Dds Pa's physical address?
The Mitchell Olson, Dds Pa is physically located at 8400 Lyndale Ave S Ste 8, in the city of Bloomington, MN, with the postal code 554202790.
What is the area of specialization for Mitchell Olson, Dds Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mitchell Olson, Dds Pa is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114050432 to Mitchell Olson, Dds Pa?
The Mitchell Olson, Dds Pa received its 1114050432 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date were the Mitchell Olson, Dds Pa's details last updated?
The information pertaining to the Mitchell Olson, Dds Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.