Mark Olsen, D.D.S.
Pediatric Dentistry · Star, ID
Practice location
12192 Evely Pines LnStar, ID 83669
- Phone
- (208) 910-9000
NPI record
- NPI
- 1780816652
- Entity type
- Individual (Type 1)
- Enumeration date
- August 11, 2009
- Last updated
- February 20, 2020
- Certified
- February 20, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X |
D-5015-PD | ID |
| General Practice Dentistry | 1223G0001X |
7371240-9921 | UT |
About Dr. Olsen
Mark Olsen, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 12192 Evely Pines Ln, Star, ID 83669. The NPI number 1780816652 was assigned on August 11, 2009 and the record was last updated on February 20, 2020.
Dr. Olsen lists 2 licenses in the registry: #D-5015-PD (ID) for Pediatric Dentistry; #7371240-9921 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark Olsen, D.D.S.?
The NPI number is 1780816652.
What is the phone number of Dr. Olsen?
The phone number listed for the practice location is (208) 910-9000.
Where is Dr. Olsen located?
12192 Evely Pines Ln, Star, ID 83669.
What is the taxonomy code for Dr. Olsen?
The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatric Dentistry providers in Star
- Ikdo Star LLC12190 W Evely Pines Ln