Olson, Evan G

Olson, Evan G is an individual health care provider with primary practice located at 101 Westview Park Pl , Kalispell MT 59901-1401. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Olson, Evan G can be contacted via phone (406) 393-8877.

Contact Information

Primary practice address
101 Westview Park Pl Kalispell MT 59901-1401
Phone: (406) 393-8877
Fax: (406) 752-1124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D9473 Oregon
Dental Providers / General Practice 1223G0001X D-6037 Montana

Profile Details

NPI number 1174837983
LBN Legal business name Olson, Evan G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2010
Last updated Feb 15th, 2024 - about 2 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 1174837983 NPPES
Oregon MEDICAID 500625075

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