Scott M Olson DMD

NPI 1417140294 - Dentist - 1223G0001X

NPI Details
NPI 1417140294
Gender Male
Enumeration Date 08/24/2007
Last Updated 08/24/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1722 S GLENSTONE AVE
SUITE GG
SPRINGFIELD MO, 65804-1513, US
Phone (417) 823-4900
Fax (417) 823-8333
Business Location
1722 S GLENSTONE AVE
SUITE GG
SPRINGFIELD MO, 65804-1513, US
Phone (417) 823-4900
Fax (417) 823-8333
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 016006
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According to our database, Scott M Olson DMD NPI is 1417140294, taxonomy code is 1223G0001X and license number is 016006, license state is located at Missouri. Scott M Olson DMD physically located at 1722 S Glenstone Ave, Springfield MO, 65804-1513. NPI Number Scott M Olson DMD has the Individual type.

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1417140294 NPI number is provided on an as is basis without warranty of any kind. 1417140294 is maintained by the National Plan & Provider Enumeration System. The contents of Scott M Olson DMD are for informational purposes only.