Jeffrey Charles Olson, DDS
Individual provider Active NPI General Practice Dentistry · Wailea, HI
NPI 1851735807 · NPPES record last updated Apr 22, 2013
Key facts
- NPI
- 1851735807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2487 (HI)
- Practice address
- 161 Wailea Ike Dr
Ste B104
Wailea, HI 96753 - Phone
- (808) 875-8555
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2487 | HI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2487 | HI | Yes |
Addresses
Primary practice location
161 Wailea Ike Dr
Ste B104
Wailea, HI 96753
Mailing address
161 Wailea Ike Dr
Ste B104
Wailea, HI 96753
Phone (808) 875-8555
Other providers in Wailea, HI
- Ryan Gingrich
- Irving W Harper III
- Michael S Jackowitz
- Jcolson DDS Inc
- Maui Psychiatry LLC
- Jezrelle Caras Rafols
- Resort Medicine LLC
- Restivo Plastic Surgery-Maui
- Terry Ellen Restivo
- Telerad of Hi Account Management LLC
All providers in Wailea, HI · General Practice Dentistry in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.