Brent Olson, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12094 Issued in MN

Legal business name

BRENT OLSON, DDS, PLLC

Practice address

730 E Madison Ave
Mankato, MN 56001-6100

Phone

(507) 625-7550

Fax

(507) 388-3353

NPI assigned

Aug 20, 2008

Last updated

Aug 20, 2008By 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. Brent Willard Olson, M.D.

Title

Dr.

Phone

(507) 625-7550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1215184346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016100",
            "telephone_number": "507-625-7550",
            "fax_number": "507-388-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016100",
            "telephone_number": "507-625-7550",
            "fax_number": "507-388-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT OLSON, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "WILLARD",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "507-625-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon R Brandt, CRNA
• Macy Mariah Branhan
• Lisa Bratsch-Montag, WHCNP
• Dana Brenhaug
• Thomas J. Brennan, MD
• Heather Bresser, RN, BSN, PHN
• Sarah Breukelaar
• Amy L. Brien, MD
• Barbara Jeanne Brindle, MA, LPCC
• Chad Brinkman

• General Practice Dentistry in Mankato, MN
• Providers in Mankato, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.