Olsen, Joe Scott
Olsen, Joe Scott is an sole proprietor health care provider with primary practice located at 3813 S Kiwanis Cir , Sioux Falls SD 57105-4266. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Olsen, Joe Scott can be contacted via phone (605) 332-1095.Contact Information
Primary practice address
3813 S Kiwanis Cir
Sioux Falls SD 57105-4266
Phone: (605) 332-1095
Fax: (605) 335-7618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | M742 | South Dakota |
Profile Details
| NPI number | 1306955307 |
|---|---|
| LBN Legal business name | Olsen, Joe Scott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306955307 | NPPES |
| South Dakota | MEDICAID | M742 |
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