BROCK L OLSON (NPI# 1184912263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184912263 |
| Entity Type | Individual |
| Full Name | BROCK L OLSON |
| Credential | DMD |
| Practice Address |
621 N 8th St W Riverton WY 82501-3318 |
| Practice Telephone | 3078569725 |
| Practice Fax Number | 3078567075 |
| Mailing Telephone | 3078569725 |
| Mailing Fax Number | 3078567075 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1284 | WY | Dental Providers |
| Street Address |
621 N 8TH ST W |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811082795 | Robert Dana Fowler | Dentist | 621 N 8th St W, Riverton, WY 82501-3318 | 2006-10-04 |
| 1972832616 | Benchmark Dental, PC | Dentist | 621 N 8th St W, Riverton, WY 82501-3318 | 2009-12-09 |
| 1528214673 | Spencer Ward Smith | Dentist | 621 N 8th St W, Riverton, WY 82501-3318 | 2008-08-08 |
| 1174782486 | Dr. Josh Fowler, Dmd, PC | Dentist | 621 N 8th St W, Riverton, WY 82501-3318 | 2008-06-03 |
| 1689868705 | Joshua Preston Fowler | Dentist | 621 N 8th St W, Riverton, WY 82501-3318 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| 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 |
|---|---|---|---|---|
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1164801619 | Scott Lewis | Dentist | 3409 W 12600 S Ste 100, Riverton, UT 84065-7266 | 2015-05-29 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1164869913 | Young Family Dental-riverton | Dentist | 12562 Rhetski Ln, Riverton, UT 84065 | 2013-06-03 |
| 1770860595 | Riverton Smiles | Dentist | 1224 East Jackson Ave, Riverton, WY 82501-3841 | 2011-11-08 |
| 1861728735 | David T Clegg | Dentist | 5069 W 13400 S Ste 200, Riverton, UT 84096-6602 | 2009-10-27 |
| 1265664072 | Stone Creek Family Dental | Dentist | 2332 W 12600 S Ste A, Riverton, UT 84065-7172 | 2009-08-12 |
| 1366632994 | Guy Salisbury Menefee | Dentist | 325 W Main St Ste G, Riverton, WY 82501-3448 | 2007-07-30 |
| 1780884353 | Jeremy L Thompson | Dentist | 1756 West Park Ave, Riverton, UT 84065 | 2007-07-23 |
| 1942406079 | Christopher J Moss | Dentist | 203 E Main St Ste 205, Riverton, WY 82501-4350 | 2007-06-25 |
| Find all providers in RIVERTON | ||||
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| 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.