| Jcolson Dds Inc | |
| 
					161 Wailea Ike Pl Suite B104 Wailea HI 96753-6521  | |
| (808) 875-8555 | |
| Not Available | 
| Full Name | Jcolson Dds Inc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 161 Wailea Ike Pl, Wailea, Hawaii | 
| Authorized Official Name and Position | Jeffrey C Olson (OWNER/DENTIST) | 
| Authorized Official Contact | 8088758555 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jcolson Dds Inc 161 Wailea Ike Pl Suite B104 Wailea HI 96753-6521 Ph: (808) 875-8555  | Jcolson Dds Inc 161 Wailea Ike Pl Suite B104 Wailea HI 96753-6521 Ph: (808) 875-8555  | 
| NPI Number | 1659449023 | 
|---|---|
| Provider Enumeration Date | 12/01/2006 | 
| Last Update Date | 01/30/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659449023 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2487 (Hawaii) | Primary |