| Dr Mark S Oliverson, DMD | |
|
207 Margaret St, Salmon, ID 83467-4400 | |
| (208) 756-2262 | |
| (208) 756-4473 |
| Full Name | Dr Mark S Oliverson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 207 Margaret St, Salmon, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689797458 | NPI | - | NPPES |
| 807527500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4013 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark S Oliverson, DMD 207 Margaret St, Salmon, ID 83467-4400 Ph: (208) 756-2262 | Dr Mark S Oliverson, DMD 207 Margaret St, Salmon, ID 83467-4400 Ph: (208) 756-2262 |
Gregory S Holbrook, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1301 Main St, Suite 9, Salmon, ID 83467 Phone: 208-756-2899 Fax: 208-756-4686 | |
Kenneth Rogers, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1005 Main St, Salmon, ID 83467 Phone: 208-756-4940 Fax: 208-756-3381 |