DAVID L. OLSON, DMD, PA (NPI# 1033168885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033168885 |
| Entity Type | Organization |
| Organization Name | DAVID L. OLSON, DMD, PA |
| Practice Address |
100 Berkeley Square Ln Pob 1460 Goose Creek SC 29445-2958 |
| Mailing Address |
Po Box 1460 100 Berkeley Square Lane Goose Creek SC 29445-1460 |
| Practice Telephone | 8435535231 |
| Practice Fax Number | 8437977547 |
| Mailing Telephone | 8435535231 |
| Mailing Fax Number | 8437977547 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID LEE OLSON (DENTIST) |
| Authorized Official Telephone | 8435535231 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1763 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | UNITED CONCORDIA INSURANC | 454338 | 01 |
| Street Address |
100 BERKELEY SQUARE LN POB 1460 |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528016573 | Timothy I. Mcconnell D.m.d. P.a. | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2006-05-04 |
| 1700263886 | Goose Creek Imagining, LLC | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2015-04-28 |
| 1083058481 | Emma Bale | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2013-04-29 |
| 1992094536 | Goose Creek Dental Care LLC | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2011-04-05 |
| 1750542569 | Jason Thomas Barganier | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2008-06-24 |
| 1235187501 | Timothy Ivan Mcconnell | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699268540 | Tyler Grant Alderman | Dentist | 124 S Goose Creek Blvd Ste D, Goose Creek, SC 29445-3136 | 2018-06-14 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1962670042 | Marshall V Miller | Dentist | 122a South Goose Creek Blvd, Goose Creek, SC 29445 | 2008-02-12 |
| 1659553980 | Bernard Alexander Melendez | Dentist | 102 Springhall Dr, Goose Creek, SC 29445-5335 | 2007-11-28 |
| 1023028891 | Keith Bryan Flynn | Dentist | 1505 Redbank Rd, Goose Creek, SC 29445 | 2006-08-08 |
| 1710964945 | Stephen David Huch | Dentist | 504 St James Ave, Goose Creek, SC 29445 | 2005-12-29 |
| 1073129060 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 100 Hamlet Cir, Goose Creek, SC 29445-7111 | 2020-09-16 |
| 1124645221 | Holly Bishop | Dentist | 615 Saint James Ave, Goose Creek, SC 29445-2755 | 2020-07-06 |
| 1821631516 | John Polydorou | Dentist | 103 Greenland Dr, Goose Creek, SC 29445-5354 | 2019-10-24 |
| 1083058481 | Emma Bale | Dentist | 100 Berkeley Square Ln, Goose Creek, SC 29445-2958 | 2013-04-29 |
| Find all providers in GOOSE CREEK | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
Please comment or provide details below to improve the information on DAVID L. OLSON, DMD, PA.
| 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.