Michelle Lea Olson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412983 Issued in VA

Practice address

4939 Courthouse St
Williamsburg, VA 23188-2687

Phone

(757) 259-0741

Fax

(757) 259-0718

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Professionals of Virginia, P.C.

  • General Practice Dentistry
  • Williamsburg, VA
  • NPI 1336655315
  NPD (past)
• Sebastiana G Springmann DDS PC

  • General Practice Dentistry
  • Williamsburg, VA
  • NPI 1699823633
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1851400766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 SOUTHMOOR DR UNIT 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553771",
            "telephone_number": "757-355-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 COURTHOUSE ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882687",
            "telephone_number": "757-259-0741",
            "fax_number": "757-259-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12256",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Funmilola Titilayo Ogundipe, M.D
• Charles I Oh, M.D.
• Olde Towne Pharmacy , Inc.
• Ashlee Anne Olsen, LCSW
• Hannah Olson, OTR/L
• Elizabeth Jones Omasta, PA-C
• Linda Domingo Ombac, M.D.
• On Demandtransportation LLC
• One Child Center for Autism
• One Paths LLC

• General Practice Dentistry in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.