Olson Dental Group, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OLSON DENTAL GROUP, PLLC

Practice address

6801 NW 39TH Expy
Suite a
Bethany, OK 73008-2501

Phone

(405) 787-1946

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By 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

Matthew Hale

Title

Authorized Representative

Phone

(214) 702-0721

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Ryan Montgomery

  • General Practice Dentistry
  • Bethany, OK
  • NPI 1891349874
  NPD (past)
• Lawrence John Olson Jr., DDS

  • Dentist
  • Bethany, OK
  • NPI 1407950744
  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1225570013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 LBJ FWY",
            "address_2": "SUITE 122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 NW 39TH EXPY",
            "address_2": "SUITE A",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082501",
            "telephone_number": "405-787-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-702-0721"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nowels, MT-BC
• Kimberly Odquist, DPT
• Okla Day Health LLC
• Okla Living Opco LLC (Glade Avenue Assisted Living)
• Helen Oliva
• Lawrence John Olson Jr., DDS
• Katelyn Lindsey Owen
• Charlene Joan Palmer
• Kabria Nicole Pannell
• Jessica Marie Parker, COTA

• Dentist in Bethany, OK
• Providers in Bethany, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.