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:
Map and Directions
Authorized official contact:
Name: Olson, Kenneth M Doctor of Dental Surgery (DDS)
Phone: (651) 788-7045

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518298660 NPPES
Minnesota MEDICAID 1235322504

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