| David L. Olson, Dmd, Pa | |
|
100 Berkeley Square Ln Pob 1460 Goose Creek SC 29445-2958 | |
| (843) 553-5231 | |
| (843) 797-7547 |
| Full Name | David L. Olson, Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 100 Berkeley Square Ln, Goose Creek, South Carolina |
| Authorized Official Name and Position | David Lee Olson (DENTIST) |
| Authorized Official Contact | 8435535231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David L. Olson, Dmd, Pa Po Box 1460 100 Berkeley Square Lane Goose Creek SC 29445-1460 Ph: (843) 553-5231 | David L. Olson, Dmd, Pa 100 Berkeley Square Ln Pob 1460 Goose Creek SC 29445-2958 Ph: (843) 553-5231 |
| NPI Number | 1033168885 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033168885 | NPI | - | NPPES |
| 454338 | Other | SC | UNITED CONCORDIA INSURANC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1763 (South Carolina) | Primary |
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