Gregory D Olsen DDS MSD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2134 Issued in MT

Legal business name

GREGORY D OLSEN DDS MSD PC

Practice address

1221 S Higgins Ave
Missoula, MT 59801

Phone

(406) 542-7572

Fax

(406) 542-7713

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory David Olsen, DDS MSD

Title

President

Phone

(406) 542-7572

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861553117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-542-7572",
            "fax_number": "406-542-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-542-7572",
            "fax_number": "406-542-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D OLSEN DDS MSD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-542-7572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MT",
            "license": "2134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Greer, LMT
• Scott Q Greer, MD
• Ann Renee Gregg Ross, OTR
• Kasarah Ann Gregg, LIC-15884
• Kristin Gregoire
• Carla Gren, PHARMD
• Sarah Grenfell, LMT
• Genesis Grey
• Madison Grider, SLP
• Lance Allen Griffin, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Missoula, MT
• Providers in Missoula, MT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.