Mitchell Olson, DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MITCHELL OLSON, DDS PA

Practice address

8400 Lyndale Ave S Ste 8
Bloomington, MN 55420-2790

Phone

(952) 884-1308

Fax

(952) 884-3445

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Brenton Olson, D.D.S., P.A.NPI 1922041730

Title

Dentist

Phone

(952) 884-1308

Specialties & licenses 1

Addresses

Other names 1

• Olson Dental Care Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell B Olson, DDS PA

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1922041730
  Authorized official Same address or phone

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114050432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 LYNDALE AVE S STE 8",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202790",
            "telephone_number": "952-884-1308",
            "fax_number": "952-884-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 LYNDALE AVE S STE 8",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202790",
            "telephone_number": "952-884-1308",
            "fax_number": "952-884-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL OLSON, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "BRENTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "952-884-1308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olson Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Minnesota Retina Associates, LLC
• Ayan Mire
• Nasteho Mire
• Jacqueline Trisha Misko
• Thomas Michael Misukanis Sr., PH.D.
• Jennifer Mitchell, PHARM.D.
• Kathryn Isabelle Mitchell
• Kendra Nicole Mitchell
• Nikki Renae Mitchell
• Scott Archer Mitchell

• Dental Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.