Jeremy D. Olen, DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEREMY D. OLEN, DMD PLLC

Practice address

102 Marissa Way
Nazareth, PA 18064-8770

Phone

(610) 304-5359

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Jeremy D. Olen, DMDNPI 1396175741

Title

Sole Member

Phone

(610) 304-5359

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Daniel Olen, D.M.D.

  • General Practice Dentistry
  • Reading, PA
  • NPI 1396175741
  NPD Authorized official

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689984000000",
    "number": "1043856032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MARISSA WAY",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648770",
            "telephone_number": "610-304-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARISSA WAY",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648770",
            "telephone_number": "610-304-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY D. OLEN, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "OLEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "610-304-5359",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Grace Huggler, OD
• Scott A Huggler, O.D.
• Elijah Irving
• James C Wasson MD PC
• Laura Jenkins
• Ruth Ann Johnson, CRNP
• Tracy Lynne Jones, MPT
• Alison Jordan, COTA
• Victoria A Judd
• Tristan Jugao

• Dental Clinic/Center in Nazareth, PA
• Providers in Nazareth, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.