| Jeremy D. Olen, Dmd Pllc | |
|
102 Marissa Way Nazareth PA 18064-8770 | |
| (610) 304-5359 | |
| Not Available |
| Full Name | Jeremy D. Olen, Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 Marissa Way, Nazareth, Pennsylvania |
| Authorized Official Name and Position | Jeremy D. Olen (SOLE MEMBER) |
| Authorized Official Contact | 6103045359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy D. Olen, Dmd Pllc 102 Marissa Way Nazareth PA 18064-8770 Ph: (610) 304-5359 | Jeremy D. Olen, Dmd Pllc 102 Marissa Way Nazareth PA 18064-8770 Ph: (610) 304-5359 |
| NPI Number | 1043856032 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 07/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043856032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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