JCOLSON DDS INC


Address: 161 Wailea Ike Pl, Suite B104, Wailea, HI 96753-6521
Phone: 8088758555

JCOLSON DDS INC (NPI# 1659449023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659449023
Entity Type Organization
Organization Name JCOLSON DDS INC
Other Organization Name WAILEA DENTAL
Practice Address 161 Wailea Ike Pl
Suite B104
Wailea
HI 96753-6521
Practice Telephone 8088758555
Mailing Telephone 8088758555
Enumeration Date 2006-12-01
Last Update Date 2013-01-30
Authorized Official Name DR. JEFFREY C OLSON (OWNER/DENTIST)
Authorized Official Telephone 8088758555
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
2487 HI Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Wailea Dental Doing Business As Name - Organization

Office Location

Street Address 161 WAILEA IKE PL
SUITE B104
City WAILEA
State HI
Zip Code 96753-6521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497769988 Wailea Medical Group LLC Internal Medicine 161 Wailea Ike Pl, #b102, Wailea, HI 96753-6521 2006-07-28
1174060008 N B Murthi Md PC Psychiatry & Neurology 161 Wailea Ike Pl, Suite C-104 #3, Wailea, HI 96753-6521 2017-01-30
1396141024 Maui Psychiatry LLC Psychoanalyst 161 Wailea Ike Pl, Bldg A105, Suite 5, Wailea, HI 96753-6521 2014-11-06
1295989408 Scott Hal Smith Physician Assistant 161 Wailea Ike Pl, Suite D102, Wailea, HI 96753-6521 2008-11-14
1326132093 Nagaprasad B Murthi Psychiatry & Neurology 161 Wailea Ike Pl, Suite C-104 #3, Wailea, HI 96753-6521 2006-10-03

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1912312364 Lara Harvey Marriage & Family Therapist 1325 South Kihei Road, Suite 226b, Kihei, HI 96753 2014-06-24
1851735807 Jeffrey Charles Olson Dentist 161 Wailea Ike Dr, Ste B104, Wailea, HI 96753 2013-04-22
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Competitor

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City WAILEA
Zip Code 96753

Improve Information

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Dataset Information

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.

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