Justin Olsen DDS PLLC.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

JUSTIN OLSEN DDS PLLC.

Doing business as

Mission Oral Surgery and Implant Center

Practice address

15600 San Pedro Ave Ste 107
San Antonio, TX 78232-3738

Phone

(210) 490-4044

Fax

(210) 490-3512

NPI assigned

Jul 28, 2025

Last updated

Jul 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Olsen, DDSNPI 1144570367

Title

Owner

Phone

(435) 512-3442

Specialties & licenses 1

Addresses

Other names 1

• Mission Oral Surgery and Implant Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Olsen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • San Antonio, TX
  • NPI 1144570367
  NPD Authorized official

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1790668713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 SAN PEDRO AVE STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323738",
            "telephone_number": "210-490-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 SAN PEDRO AVE STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323738",
            "telephone_number": "210-490-4044",
            "fax_number": "210-490-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN OLSEN DDS PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-512-3442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Oral Surgery and Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaydaline Nickolette Justice
• Robyn Justice, SLP
• Toni C. Justice
• Justiceworks TX, LLC
• Justin Anthony Dacy DDS Ms PA (Implant & Periodontal Dentistry)
• Stacey Ann Justus, LCDC
• Tammy Justus
• Ruth Jael Juul, PHARMD
• JW Anesthesia, PLLC
• Hana Jwaied

• Oral & Maxillofacial Surgery (D.M.D.) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.