| Dr Mark Olsen, DDS | |
|
12192 Evely Pines Ln, Star, ID 83669 | |
| (208) 910-9000 | |
| Not Available |
| Full Name | Dr Mark Olsen |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12192 Evely Pines Ln, Star, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780816652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7371240-9921 (Utah) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | D-5015-PD (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Olsen, DDS 12192 Evely Pines Ln, Star, ID 83669 Ph: (208) 910-9000 | Dr Mark Olsen, DDS 12192 Evely Pines Ln, Star, ID 83669 Ph: (208) 910-9000 |
Dr. Elizabeth Dockerty Smith, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9876 W State St, Star, ID 83669 Phone: 208-898-0000 | |
Dr. Kevin L Tingey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11615 W State St, Star, ID 83669 Phone: 208-274-5500 | |
Dr. Carson Steven Dial, DMD Dentist Medicare: Medicare Enrolled Practice Location: 10661 W State St, Star, ID 83669 Phone: 208-286-9890 | |
Dr. Robert Dell Lewis, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 9776 W State St, Star, ID 83669 Phone: 208-898-4080 Fax: 208-898-4095 |