Olson Dental Associates P.S.C.
LBN: Olson Dental Associates P.S.C.
Olson Dental Associates P.S.C. is an health care organization with primary practice located at 393 Dunlap St N Suite 308, Saint Paul MN 55104-4200. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Olson Dental Associates P.S.C. can be contacted via phone (651) 788-7045, or through Olson, Kenneth M via phone (651) 788-7045.
Contact Information
Primary practice address
393 Dunlap St N Suite 308
Saint Paul MN 55104-4200
Phone: (651) 788-7045
Fax:
Website:
Authorized official contact:
Name: Olson, Kenneth M Doctor of Dental Surgery (DDS)
Phone: (651) 788-7045
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Dental | 261QD0000X | 8085 | Minnesota |
Profile Details
NPI number | 1518298660 |
---|---|
LBN Legal business name | Olson Dental Associates P.S.C. |
DBA Doing business as | |
Authorized official | Olson, Kenneth M Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 28th, 2010 |
Last updated | Jan 28th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518298660 | NPPES |
Minnesota | MEDICAID | 1235322504 |
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