Organization Active NPI

Olson Family Dentistry

  • Dental Clinic/Center
  • Madisonville, TN
National Provider Identifier
1487521845
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OLSON FAMILY DENTISTRY
Practice address
4249 US-411 Ste 3B
Ste 3B
Madisonville, TN 37354
Phone
(423) 420-0800
NPI assigned
Oct 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Dr. Mandy M Olson, DMDNPI 1437495074
Title
Dentist
Phone
(954) 937-6718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4249 US-411 Ste 3B
Ste 3B
Madisonville, TN 37354

Mailing address

545 Rarity Bay Pkwy Apt 206
Vonore, TN 37885-5381
Phone (954) 937-6718

National Provider Directory

National Provider Directory

Locations

4249 Highway 411
Ste 3B
Madisonville, TN 37354
Phone (423) 420-0800

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1487521845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 RARITY BAY PKWY APT 206",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378855381",
            "telephone_number": "954-937-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 US-411 STE 3B",
            "address_2": "STE 3B",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "37354",
            "telephone_number": "423-420-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-937-6718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.