Active NPI
Scott a Olson DDS PLLC
- Dental Clinic/Center
- Poulsbo, WA
National Provider Identifier
1013409788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DE00010620
- Legal business name
- SCOTT A OLSON DDS PLLC
- Practice address
- 18520 State Highway 305 NE
Poulsbo, WA 98370-7453 - Phone
- (360) 598-5510
- Fax
- (360) 598-5515
- NPI assigned
- May 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott A Olson, DDS
- Title
- Owner
- Phone
- (360) 598-5510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DE00010620 | WA | Primary |
Addresses
Primary practice location
18520 State Highway 305 NE
Poulsbo, WA 98370-7453
Mailing address
18520 State Highway 305 NE
Poulsbo, WA 98370-7453
Phone (360) 598-5510
Other names 1
- Viking Dental
National Provider Directory
National Provider DirectoryLocations
18520 State Highway 305 NE
Poulsbo, WA 98370
Phone (360) 598-5510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527638400000",
"number": "1013409788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18520 STATE HIGHWAY 305 NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707453",
"telephone_number": "360-598-5510",
"fax_number": "360-598-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18520 STATE HIGHWAY 305 NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707453",
"telephone_number": "360-598-5510",
"fax_number": "360-598-5515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT A OLSON DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-598-5510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "DE00010620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Viking Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Viking Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.