Olson, Dale Victor

Olson, Dale Victor is an individual health care provider with primary practice located at 710 19Th Ave N Suite 300, South St Paul MN 55075-1359. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Olson, Dale Victor can be contacted via phone (651) 451-1873.

Contact Information

Primary practice address
710 19Th Ave N Suite 300 South St Paul MN 55075-1359
Phone: (651) 451-1873
Fax: (651) 451-8010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7933 Minnesota

Profile Details

NPI number 1679662696
LBN Legal business name Olson, Dale Victor
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
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 1679662696 NPPES
Minnesota Other 26723OL BCBS

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