Gregory G. Olsen, DDS, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GREGORY G. OLSEN, DDS, INC.

Doing business as

Folsom Oral Surgery & Implant Center

Practice address

2370 E. Bidwell Street
Suite 13
Folsom, CA 95630

Phone

(916) 983-6637

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By 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

Jadgev Heir

Title

Ceo/President

Phone

(518) 441-5483

Specialties & licenses 1

Addresses

Other names 1

• Folsom Oral Surgery & Implant Center Doing business as

Locations

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1891475828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 TRUXEL ROAD",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 E. BIDWELL STREET",
            "address_2": "SUITE 13",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-983-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY G. OLSEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "HEIR",
        "authorized_official_first_name": "JADGEV",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "518-441-5483"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Folsom Oral Surgery & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Green
• Lara Petrou Green, ACSW
• Roy A Greenberg, MD
• Hayley Greene
• Kartika A Greene, ACSW
• Jessica Theresa Greisen
• Sheyanne Gresio-Cardenas
• Valerie Griffin, FNP
• Eleonor Loyola Griffith, D.O.
• Valerie Grimes, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Folsom, CA
• Providers in Folsom, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.