| Gregory W. Olson, Dds Pllc | |
|
31775 State Route 20 Ste A1 Oak Harbor WA 98277-5104 | |
| (360) 675-7573 | |
| Not Available |
| Full Name | Gregory W. Olson, Dds Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 31775 State Route 20 Ste A1, Oak Harbor, Washington |
| Authorized Official Name and Position | Gregory W. Olson (OWNER) |
| Authorized Official Contact | 3606757573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory W. Olson, Dds Pllc 31775 State Route 20 Ste A1 Oak Harbor WA 98277-5104 Ph: (360) 675-7573 | Gregory W. Olson, Dds Pllc 31775 State Route 20 Ste A1 Oak Harbor WA 98277-5104 Ph: (360) 675-7573 |
| NPI Number | 1043390404 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043390404 | NPI | - | NPPES |
| 5036041 | Medicaid | WA | |
| 469447 | Other | WA | UNITED CONCORDIA ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8135 (Washington) | Primary |
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Oak Harbor Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31775 State Route 20 Ste A1, Oak Harbor, WA 98277 Phone: 360-675-7573 | |
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Olson Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31775 Sr 20 Ste A1, Oak Harbor, WA 98277 Phone: 360-675-7573 |