Olsen Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OLSEN DENTAL PC

Doing business as

Olsen and Peters Dental Group

Practice address

715 W Central Ave
Missoula, MT 59801-6808

Phone

(406) 728-2840

Fax

(406) 728-3083

NPI assigned

Nov 8, 2023

Organization subpart

Yes

Parent organization

OLSEN DENTAL PCAs reported in NPPES

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

Authorized official

Name

Brenda Sherman

Title

Practice Adminstrator

Phone

(406) 728-2840

Specialties & licenses 1

Addresses

Other names 1

• Olsen and Peters Dental Group Doing business as

Part of

Olsen Dental PC

Locations

Practitioners 1

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

• Noah J Peters, D.D.S

  • General Practice Dentistry
  • Missoula, MT
  • NPI 1710184775
  NPD (past)

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1578337705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W CENTRAL AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016808",
            "telephone_number": "406-728-2840",
            "fax_number": "406-728-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W CENTRAL AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016808",
            "telephone_number": "406-728-2840",
            "fax_number": "406-728-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSEN DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLSEN DENTAL PC",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRACTICE ADMINSTRATOR",
        "authorized_official_telephone_number": "406-728-2840"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olsen and Peters Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Ann Off, PH.D., CCC-SLP
• Ohana Providers, PLLC
• Colleen Elizabeth Okon, RN
• Lily Oligee, RBT
• Neva McKinnon Oliver, APRN
• Diane Olsen, PCLC
• George Martin Olsen, DDS
• Jason C Olsen, D.D.S., P.C.
• Tessa Marie Olsen
• Barry Arthur Olson, PHYSICAL THERAPY

• Dentist in Missoula, MT
• Providers in Missoula, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.