OLSON FAMILY DENTAL PLLC (NPI# 1619586294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619586294 |
Entity Type | Organization |
Organization Name | OLSON FAMILY DENTAL PLLC |
Practice Address |
11550 Sheridan Blvd Ste 101 Westminster CO 80020-3312 |
Mailing Address |
12601 Julian St Broomfield CO 80020-5841 |
Practice Telephone | 7204643901 |
Mailing Telephone | 3038862969 |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |
Authorized Official Name | DR. SAMUEL IVAN OLSON (OWNER/DENTIST) |
Authorized Official Telephone | 3038862969 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
11550 SHERIDAN BLVD STE 101 |
City | WESTMINSTER |
State | CO |
Zip Code | 80020-3312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679964357 | Nicholas Robert Bussa | Dentist | 11550 Sheridan Blvd Ste 101, Westminster, CO 80020-3312 | 2015-02-17 |
1124683818 | Samuel Ivan Olson | Dentist | 11550 Sheridan Blvd Ste 101, Westminster, CO 80020-3312 | 2019-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
Find all providers in zip 80020 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801352851 | Hope Pediatric Dentistry, Pllc | Clinic/Center | 5724 W. 89th Avenue, Westminster, CO 80031 | 2019-02-14 |
1366912180 | My Local Colorado Dental Practice, LLC | Clinic/Center | 2721 W 120th Ave Ste 200, Westminster, CO 80234-2946 | 2018-12-05 |
1609346212 | Daniel A. Nguyen, Dds, Inc. | Clinic/Center | 14091 Goldenwest St, Westminster, CA 92683-3720 | 2018-11-27 |
1174099014 | Eric A. Winter, D.d.s., P.C. | Clinic/Center | 11961 Bradburn Blvd Unit 200, Westminster, CO 80031-5088 | 2018-10-18 |
1952817314 | Emad Moawad Dental Corporation | Clinic/Center | 7631 Westminster Blvd. #a, Westminster, CA 92683 | 2017-12-21 |
1992216717 | Cornerstone Dentistry | Clinic/Center | 14120 Beach Blvd. #212, Westminster, CA 92683 | 2017-10-19 |
1124571617 | Smile Rockers, Pllc | Clinic/Center | 4955 W 72nd Ave Unit L1, Westminster, CO 80030-5146 | 2016-08-01 |
1073998100 | Quiram Family Dental Professional LLC | Clinic/Center | 2721 W 120th Ave Ste A200, Westminster, CO 80234-3289 | 2015-07-30 |
1821390071 | Dr. D. Dental | Clinic/Center | 10451 Bolsa Ave Ste 110, Westminster, CA 92683-6756 | 2010-11-20 |
1417260787 | Ridgeview Pediatric Dentistry PC | Clinic/Center | 14697 Delaware St, Bldg. B, Suite #210, Westminster, CO 80023-9178 | 2010-07-15 |
Find all providers in WESTMINSTER |
City | WESTMINSTER |
Zip Code | 80020 |
Please comment or provide details below to improve the information on OLSON FAMILY DENTAL PLLC.
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.