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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679662696 | NPPES |
Minnesota | Other | 26723OL | BCBS |
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