Gregory W. Olson, DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8135 Issued in WA

Legal business name

GREGORY W. OLSON, DDS PLLC

Practice address

31775 State Route 20 Ste A1
Oak Harbor, WA 98277-5104

Phone

(360) 675-7573

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory W. Olson, DDS

Title

Owner

Phone

(360) 675-7573

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hartman & Olson Pediatric Dentistry Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1043390404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31775 STATE ROUTE 20 STE A1",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775104",
            "telephone_number": "360-675-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31775 STATE ROUTE 20 STE A1",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775104",
            "telephone_number": "360-675-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W. OLSON, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-675-7573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "8135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036041",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID#",
            "identifier": "469447",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartman & Olson Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Noelle Granberg
• Caitlin Morgan Grant
• Julie Anne Grant
• Nickolas Eugene Green
• Cory Fisher Gregerson, RBT
• Sandra Gross, PT
• Max Jacob Grossman
• Maira Grove
• Nicole Grove
• Shannon Grube, MS, RDN, CD

• Pediatric Dentistry in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.