SCOTT M OLSON (NPI# 1417140294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417140294 |
| Entity Type | Individual |
| Full Name | SCOTT M OLSON |
| Credential | DMD |
| Practice Address |
1722 S Glenstone Ave Suite Gg Springfield MO 65804-1513 |
| Practice Telephone | 4178234900 |
| Practice Fax Number | 4178238333 |
| Mailing Telephone | 4178234900 |
| Mailing Fax Number | 4178238333 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
016006 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841575909 | Scott Curtis Olson | Student in an Organized Health Care Education/Training Program | 1742 Covey Run Dr Apt B, Forest Grove, OR 97116-2064 | 2011-10-19 |
| 1407060080 | Scott Olson | Psychiatry & Neurology | 2 Fifer Ave # 2, Corte Madera, CA 94925-1134 | 2007-05-10 |
| 1093834087 | Scott Olson | Dentist | 1500 S 70th St, Lincoln, NE 68506-1574 | 2007-03-29 |
| 1730279639 | Scott J Olson | Family Medicine | 606 E Goode St, Suite 100, Quitman, TX 75783-2567 | 2006-10-13 |
| 1679543466 | Scott A Olson | Dentist | 18520 St Hwy 305 Ne, Poulsbo, WA 98370-7453 | 2006-01-24 |
| 1548258320 | Scott Vincent Olson | Chiropractor | 1693 Sw Chandler Ave, Ste 130, Bend, OR 97702-3236 | 2005-10-06 |
| 1629345954 | Scott T Olson | Technician/Technologist | 302 1st Ave S, Saint James, MN 56081-1724 | 2011-12-01 |
| 1457505174 | Scott Ronald Olson | Counselor | 57 Highland Ave, Salem, MA 01970-2141 | 2008-11-07 |
| 1083814685 | Scott Chambers Olson | Pediatrics | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2007-07-20 |
| 1629196316 | Scott Olson | Hospitalist | 78 Medical Center Drive, Fishersville, VA 22939 | 2007-03-27 |
| Street Address |
1722 S GLENSTONE AVE SUITE GG |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353498 | William A Wagasy | Dentist | 1722 S Glenstone Ave, Suite Q, Springfield, MO 65804-1519 | 2005-11-17 |
| 1235539685 | Karla E. Huhn, Psy.d., P.C. | Clinic/Center | 1722 S Glenstone Ave, Suite H, Springfield, MO 65804-1513 | 2014-09-03 |
| 1518391861 | Leslie Ann Dawson | Counselor | 1722 S Glenstone Ave, Ste H, Springfield, MO 65804-1513 | 2013-08-22 |
| 1952552465 | Tara Rebecca Cash | Dentist | 1722 S Glenstone Ave, Suite Dd, Springfield, MO 65804-1513 | 2008-10-02 |
| 1972772549 | Magda W Romman | Counselor | 1722 S Glenstone Ave, Suite Tt, Springfield, MO 65804-1513 | 2008-02-27 |
| 1457567968 | Corey Dale Hawkins | Chiropractor | 1722 S Glenstone Ave, Suite F, Springfield, MO 65804-1519 | 2007-05-14 |
| 1790828945 | John Thomas Auvil | Dentist | 1722 S Glenstone Ave, Suite V, Springfield, MO 65804-1519 | 2007-02-15 |
| 1316080641 | Patricia M Compton | Counselor | 1722 S Glenstone Ave, Suite H, Springfield, MO 65804-1519 | 2007-02-15 |
| 1932250404 | James Douglas Jersak | Dentist | 1722 S Glenstone Ave, Ee, Springfield, MO 65804-1519 | 2007-01-13 |
| 1205993896 | Sherman Thomas Mitchell | Dentist | 1722 S Glenstone Ave, Suite V, Springfield, MO 65804-1519 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| 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 |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1730734369 | Taylor Eiford | Dentist | 200 N Fountain Ave, Springfield, OH 45504-2535 | 2019-08-09 |
| 1376198366 | Cynthia Park | Dentist | 8328 Traford Ln Ste B, Springfield, VA 22152-1667 | 2019-08-06 |
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1376100651 | Haiping Sun | Dentist | 1705 E Primrose St, Springfield, MO 65804-4292 | 2019-05-22 |
| 1740845619 | Patrick Greitzer | Dentist | 251 Hampton Pl, Springfield, OH 45503-2613 | 2019-05-07 |
| 1033674106 | Tags Inc | Dentist | 1557 E Primrose St Ste 116, Springfield, MO 65804-7916 | 2019-02-04 |
| 1366916272 | Baines Dental, LLC | Dentist | 1112 Rickard Rd Ste A, Springfield, IL 62704-1021 | 2019-01-14 |
| 1225502362 | Liebentritt Family Dentistry | Dentist | 191 Main St., Springfield, NE 68059 | 2019-01-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.