Gary Douglas Olson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-016467 Issued in OH

Practice address

157 W Cedar St
Suite 206
Akron, OH 44307-2564

Phone

(330) 253-8711

Fax

(330) 253-8711

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336232685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 W. CEDAR ST.",
            "address_2": "SUITE 206",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072563",
            "telephone_number": "330-253-8711",
            "fax_number": "330-253-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 W CEDAR ST",
            "address_2": "SUITE 206",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072564",
            "telephone_number": "330-253-8711",
            "fax_number": "330-253-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "GARY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-016467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Olle, RN
• Kichelle Nicole Ollison-Munodawafa, LPN
• Danielle Alicia-Dante Olney-Diehl, LICDC, QMHS, TTS
• Chelsea Elizabeth Ols, RN
• Andrew C Olsen, DO
• Laurie Olson
• Linda Ann Olson, LPN
• Spencer T Olson
• Yazan Omar Khaled Alzubi, M.D.
• Gregory J Omlor, M.D.

• General Practice Dentistry in Akron, OH
• Providers in Akron, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.