Olsen, Scott R

Olsen, Scott R is an individual health care provider with primary practice located at 7424 Bridgeport Way W , Lakewood WA 98499-8120. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Olsen, Scott R can be contacted via phone (253) 581-2112.

Contact Information

Primary practice address
7424 Bridgeport Way W Lakewood WA 98499-8120
Phone: (253) 581-2112
Fax: (253) 240-2102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00008764 Washington
Dental Providers / Dentist 122300000X DE00008764 Washington

Profile Details

NPI number 1063423986
LBN Legal business name Olsen, Scott R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 21st, 2025 - about last year

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 1063423986 NPPES
Washington MEDICAID 5034392

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