DR. KYLE OLSON-MERRICK (NPI# 1417515339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417515339 |
| Entity Type | Individual |
| Full Name | DR. KYLE OLSON-MERRICK |
| Credential | DDS |
| Practice Address |
320 W Myrtle St Ste 100 Duluth MN 55811 |
| Mailing Address |
1219 105th Ave W Duluth MN 55808-1728 |
| Practice Telephone | 2185202700 |
| Mailing Telephone | 2183419584 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D14228 | MN | Dental Providers |
| Street Address |
320 W MYRTLE ST STE 100 |
| City | DULUTH |
| State | MN |
| Zip Code | 55811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| 1386089654 | Megan Martin | Physical Therapy Assistant | 2501 Rice Lake Road, Duluth, MN 55811 | 2013-05-01 |
| Find all providers in zip 55811 | ||||
| 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 |
|---|---|---|---|---|
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1477074466 | Kelly Ann Pohlman | Dentist | 3700 Crestwood Pkwy Nw Ste 180, Duluth, GA 30096-5583 | 2017-06-29 |
| 1487191649 | Sage Dental Group of Georgia, LLC | Dentist | 11160 Medlock Bridge Rd, Suite 120, Duluth, GA 30097-2590 | 2017-01-26 |
| 1730538661 | Gianna Paola Koker | Dentist | 4310 Menard Dr Ste 300, Duluth, MN 55811-1564 | 2016-06-10 |
| 1932560034 | Jasmine Ahn | Dentist | 7063 Belltoll Ct, Duluth, GA 30097-2507 | 2016-03-16 |
| 1518340009 | Go Eun Kim | Dentist | 2476 Pleasant Hill Rd Ste 201, Duluth, GA 30096-4300 | 2015-07-02 |
| 1912315730 | Jonathan Hu Chang | Dentist | 1630 Pleasant Hill Rd Ste 200, Duluth, GA 30096-5828 | 2014-07-24 |
| 1861836553 | Joanna I Bodea | Dentist | 5805 State Bridge Rd Ste L, Duluth, GA 30097-6427 | 2013-04-24 |
| 1154669406 | Thomas E Geoghegan | Dentist | 2785 Buford Hwy, Bldg. B, Suite 101, Duluth, GA 30096-2800 | 2013-01-22 |
| 1790011609 | Young Tae Shim | Dentist | 2925 Premiere Pkwy Ste 175b, Duluth, GA 30097-5258 | 2009-10-27 |
| Find all providers in DULUTH | ||||
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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.