Olson Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

00010051 Issued in WA

Legal business name

OLSON PEDIATRIC DENTISTRY

Practice address

31775 Sr 20 Ste A1
Oak Harbor, WA 98277-5104

Phone

(360) 675-7573

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Dorothy Waite

Title

Office Manager

Phone

(360) 675-7573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1497980551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31775 SR 20 STE A1",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775104",
            "telephone_number": "360-675-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31775 SR 20 STE A1",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775104",
            "telephone_number": "360-675-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-675-7573"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "00010051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Michelle Oberg, RN
• Shannon Kathleen Oconnor
• Sandra Kaye Oldemeyer, LPN
• Lorenzo Quentrel Olive, M.D.
• Linsey Monique Olsen, BS
• Larayne Olson, ARNP
• Michelle S Olsufka
• Michael J Oras, M.D.
• Ty Orion
• Carmen Ortiz

• Pediatric Dentistry in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.