DR. KELLY J. OLSEN (NPI# 1407902950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407902950 |
| Entity Type | Individual |
| Full Name | DR. KELLY J. OLSEN |
| Credential | D.D.S. |
| Practice Address |
321 N Mall Dr Suite #d101 St George UT 84790-7302 |
| Practice Telephone | 4356285496 |
| Practice Fax Number | 4356286285 |
| Mailing Telephone | 4356285496 |
| Mailing Fax Number | 4356286285 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
309573 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235613274 | Kelly Rose Olsen | Behavioral Analyst | 510 Mccormick Dr Ste U-w, Glen Burnie, MD 21061-3283 | 2018-09-15 |
| 1740702927 | Kelly Elise Olsen | Physician Assistant | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2017-07-10 |
| 1235417320 | Kelly Mukti Olsen | Nurse Anesthetist, Certified Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2011-07-24 |
| 1699964312 | Kelly Ann Olsen | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2007-10-18 |
| Street Address |
321 N MALL DR SUITE #D101 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437258480 | Darren Boyd Earl | Dentist | 321 N Mall Dr, # F102, St George, UT 84790 | 2006-09-22 |
| 1619537503 | Grant Pemberton | Counselor | 321 N Mall Dr, St George, UT 84790-7302 | 2019-06-13 |
| 1467925883 | Saskia Ann Stallings | Counselor | 321 N Mall Dr, St George, UT 84790-7302 | 2019-01-08 |
| 1255815692 | Victoria Kate Graff | Social Worker | 321 N Mall Dr, E 102, St George, UT 84790-7302 | 2018-09-21 |
| 1407308737 | David B Tate Phd LLC | Psychologist | 321 N Mall Dr, Suite I-201, St George, UT 84790-7323 | 2016-11-03 |
| 1710436019 | Amy Michelle Tikalsky | Behavior Technician | 321 N Mall Dr, Suite E102, St George, UT 84790-7302 | 2016-09-27 |
| 1215320775 | Dental Center of St. George LLC | Health Maintenance Organization | 321 N Mall Dr, #p101, St George, UT 84790-7302 | 2015-03-09 |
| 1528476421 | David H Jones | Marriage & Family Therapist | 321 N Mall Dr, Vw-103, St George, UT 84790 | 2014-07-24 |
| 1427485101 | Cecilie Ott | Marriage & Family Therapist | 321 N Mall Dr, St George, UT 84790-7302 | 2013-09-26 |
| 1144566654 | Irvin Paul Dunsdon | Massage Therapist | 321 N Mall Dr, Bldg I #102, St George, UT 84790-7302 | 2013-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| 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 |
|---|---|---|---|---|
| 1457850844 | Sunset Smiles Dentistry | Dentist | 929 W Sunset Blvd Ste 15, St George, UT 84770-4849 | 2018-02-12 |
| 1609244045 | Tyler S Utley | Dentist | 444 E Tabernacle #1, St George, UT 84770 | 2015-09-02 |
| 1891191334 | St George Dental Care LLC | Dentist | 444 E Tabernacle St Ste 1, St George, UT 84770-0610 | 2014-11-11 |
| 1750636288 | Stephen Michael Jackson | Dentist | 350 E 600 S Ste 1, St George, UT 84770 | 2012-07-20 |
| 1982984415 | Ginger Atkin | Dentist | 444 E Tabernacle St, #1, St George, UT 84770-3270 | 2011-08-29 |
| 1285960799 | Jay Alan Taylor | Dentist | 1404 Sunriver Pkwy Ste 125, St George, UT 84790-4824 | 2009-10-19 |
| 1336384908 | Ashton A. Prince | Dentist | 144 W Brigham Rd Ste 15, St George, UT 84790-7472 | 2008-12-10 |
| 1477747913 | D. Bryce Alldredge | Dentist | 1240 E 100 S Ste 17, St George, UT 84790-3074 | 2007-08-28 |
| 1437340858 | Owen Courtney Allen | Dentist | 425 E Tabernacle St, St George, UT 84770-2941 | 2007-08-09 |
| 1396944047 | Carl Blaine Curtis | Dentist | 437 S Bluff St Ste 102, St George, UT 84770-3553 | 2007-07-13 |
| Find all providers in ST GEORGE | ||||
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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.