SMITH & OLSEN DENTAL LLC (NPI# 1013078955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013078955 |
| Entity Type | Organization |
| Organization Name | SMITH & OLSEN DENTAL LLC |
| Practice Address |
100 Wilburn Rd 212 Sun Prairie WI 53590-1478 |
| Practice Telephone | 6088377842 |
| Practice Fax Number | 6088370469 |
| Mailing Telephone | 6088377842 |
| Mailing Fax Number | 6088370469 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK D OLSEN (DENTIST) |
| Authorized Official Telephone | 6088377842 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
5001799 | WI | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5501015 | WI | Dental Providers |
| Street Address |
100 WILBURN RD 212 |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366676611 | Siddhi Jyotindra Doshi | Dentist | 100 Wilburn Rd, Sun Prairie, WI 53590-1478 | 2009-05-14 |
| 1730353277 | Mark Olsen | Dentist | 100 Wilburn Rd, Suite 212, Sun Prairie, WI 53590-1478 | 2008-04-16 |
| 1861666414 | Bradley Smith | Dentist | 100 Wilburn Rd, Suite 212, Sun Prairie, WI 53590-1478 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932560604 | Dr Peter Lotowski LLC | Dentist | 1260 W Main St # 1, Sun Prairie, WI 53590-1930 | 2016-03-09 |
| 1871980573 | Daniel Stevens | Dentist | 180 Wilburn Rd, Sun Prairie, WI 53590-1476 | 2015-04-20 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1558655704 | Margaret M Fisher | Dentist | 140 N City Station Dr, Sun Prairie, WI 53590-4642 | 2011-06-06 |
| 1902901275 | Robert J Carpenter | Dentist | 1465 W Main St, Sun Prairie, WI 53590-1837 | 2006-09-13 |
| 1063437960 | Thomas Leonard Wilhelms | Dentist | 601 N Thompson Rd, Sun Prairie, WI 53590-4014 | 2006-07-12 |
| 1932695913 | Andrew Brodek | Dentist | 180 Wilburn Rd, Sun Prairie, WI 53590-1476 | 2018-07-02 |
| 1417330945 | Mdc Sun Prairie LLC | Dentist | 1460 W Main St, Sun Prairie, WI 53590-1846 | 2015-07-01 |
| 1205139821 | Raymond Matthew Maddox | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2010-12-21 |
| 1417260712 | Kasheena S Hollis | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2010-07-15 |
| Find all providers in SUN PRAIRIE | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
Please comment or provide details below to improve the information on SMITH & OLSEN DENTAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.