| Mrs Vanessa Kristine Strom Olson, DDS | |
| 5135 Skyline Rd S, Skyline Dental Office, Salem, OR 97306-9427 | |
| (612) 251-9958 | |
| Not Available | 
| Full Name | Mrs Vanessa Kristine Strom Olson | 
|---|---|
| Gender | Female | 
| Speciality | Dentist | 
| Location | 5135 Skyline Rd S, Salem, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942304407 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | D8809 (Oregon) | Primary | 
| Entity Name | Lake Superior Dental Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871672584 PECOS PAC ID: 0345649554 Enrollment ID: O20210520000645 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Vanessa Kristine Strom Olson, DDS 8971 71st St Ne, Spicer, MN 56288-8634 Ph: (612) 251-9958 | Mrs Vanessa Kristine Strom Olson, DDS 5135 Skyline Rd S, Skyline Dental Office, Salem, OR 97306-9427 Ph: (612) 251-9958 | 
| Trenton Young,  Dentist Medicare: Not Enrolled in Medicare Practice Location: 1257 Wallace Rd Nw, Salem, OR 97304 Phone: 503-363-0292 | |
| Dr. Robert Burton White, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5135 Skyline Rd S, Salem, OR 97306 Phone: 503-588-6560 | |
| Dr. Jefferson B Gourley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3490 Lancaster Dr Ne, Salem, OR 97305 Phone: 855-433-6825 | |
| Mr. Steven Michael Peck, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2411 Grear St Ne, Salem, OR 97301 Phone: 503-362-6456 | |
| Dr. Thomas Rado Palandech, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3750 Chemawa Rd Ne, Salem, OR 97305 Phone: 503-304-1631 | |
| Dr. Steven Donald Cowgill, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2019 State St, Salem, OR 97301 Phone: 503-363-9637 Fax: 503-363-3274 | |
| Kristen Marie Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 876 Welcome Way Se, Salem, OR 97302 Phone: 503-363-0031 Fax: 503-363-0827 |