| Smith & Olsen Dental Llc | |
|
100 Wilburn Rd 212 Sun Prairie WI 53590-1478 | |
| (608) 837-7842 | |
| (608) 837-0469 |
| Full Name | Smith & Olsen Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Wilburn Rd, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Mark D Olsen (DENTIST) |
| Authorized Official Contact | 6088377842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith & Olsen Dental Llc 100 Wilburn Rd 212 Sun Prairie WI 53590-1478 Ph: (608) 837-7842 | Smith & Olsen Dental Llc 100 Wilburn Rd 212 Sun Prairie WI 53590-1478 Ph: (608) 837-7842 |
| NPI Number | 1013078955 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013078955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5501015 (Wisconsin) | Primary |
| 1223G0001X | Dentist - General Practice | 5001799 (Wisconsin) | Secondary |
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