Oak Ridge Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11326 Issued in MN

Legal business name

OAK RIDGE DENTAL, LLC

Practice address

625 E Nicollet Blvd
Suite 310
Burnsville, MN 55337-6734

Phone

(952) 435-0355

Fax

(952) 435-0390

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey J Olson, D.D.S.NPI 1205041498

Title

Co-Owner

Phone

(952) 435-0355

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jeffrey J Olson, D.D.S

  • General Practice Dentistry
  • Burnsville, MN
  • NPI 1205041498
  NPD (past) Authorized official
• James Wendel Horst, D.D.S.

  • General Practice Dentistry
  • Burnsville, MN
  • NPI 1447465034
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225104458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E NICOLLET BLVD",
            "address_2": "SUITE 310",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376734",
            "telephone_number": "952-435-0355",
            "fax_number": "952-435-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E NICOLLET BLVD",
            "address_2": "SUITE 310",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376734",
            "telephone_number": "952-435-0355",
            "fax_number": "952-435-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "952-435-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Barbara O'Neil, M.D.
• Angela Marissa O'Neill, PT
• Owen Roe O'Neill, M.D.
• Kirsten O'Rourke, OTR/L
• Marissa M. Oachs, ATC/ATR
• Joseph James Odonnell
• Bridget Jean Ogden, PHARM.D
• Michael Ogunyemi
• Jane Oh
• Liana Ohanyan

• General Practice Dentistry in Burnsville, MN
• Providers in Burnsville, 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 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.