Tiana Lorene Olson, RDH

Individual provider Active NPI Dental Hygienist · Eagle Point, OR

NPI 1689174641 · NPPES record last updated May 2, 2022

Key facts

NPI
1689174641
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
H7184 (OR)
Practice address
217 W Main St
Eagle Point, OR 97524-0450
Phone
(541) 826-2525
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
H7184ORMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Point Dental Group,P.C. Past
since May 8, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H7184 OR Yes

Addresses

Primary practice location

217 W Main St
Eagle Point, OR 97524-0450

Mailing address

217 W Main St
Eagle Point, OR 97524-0450
Phone (541) 826-2525

Other providers in Eagle Point, OR

All providers in Eagle Point, OR · Dental Hygienist in Oregon

Sources for this page

Verify at the official NPI Registry.