Oleson, Martin H

Oleson, Martin H is an sole proprietor health care provider with primary practice located at 210 S Third Ave , Clear Lake SD 57226-0559. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Oleson, Martin H can be contacted via phone (605) 874-2230.

Contact Information

Primary practice address
210 S Third Ave Clear Lake SD 57226-0559
Fax: (605) 874-2675
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X M-517 South Dakota

Profile Details

NPI number 1851505804
LBN Legal business name Oleson, Martin H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851505804 NPPES
South Dakota MEDICAID 7802770

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