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Daniel J. Olson Dds Phd Pc
Oral and Maxillofacial Surgery (Dentist) in Roseburg, Oregon
NPI 1407014129

Daniel J. Olson Dds Phd Pc is a Oral and Maxillofacial Surgery (Dentist) based in Roseburg, OR and is specialized in Oral and Maxillofacial Surgery. Daniel J. Olson Dds Phd Pc practices in Roseburg, OR. The NPI Number for Daniel J. Olson Dds Phd Pc is 1407014129 and holds a License No. 7394 (Oregon).

The current practice location address for Daniel J. Olson Dds Phd Pc is 2510 Nw Medical Park Dr, Roseburg, OR and can be reached out via phone at 541-673-4152 and via fax at 541-673-4156. You can also correspond with Daniel J. Olson Dds Phd Pc through the mailing address at 2510 NW MEDICAL PARK DR, ROSEBURG, OR - 97470-5510 (mailing address contact number: 541-673-4152).

Location: 2510 Nw Medical Park Dr, Roseburg, OR, 97470-5510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407014129
Provider Name
Daniel J. Olson Dds Phd Pc
Credential
Provider Entity Type
Organization
Address
2510 Nw Medical Park Dr, Roseburg, OR, 97470-5510
Phone Number
541-673-4152
Fax Number
541-673-4156
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
133665 01 OR MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
2510 Nw Medical Park Dr
City
Roseburg
State
Oregon
Zip
97470-5510
Phone Number
541-673-4152
Fax Number
541-673-4156
person
Provider Business Mailing Address Details
Address
2510 Nw Medical Park Dr
City
Roseburg
State
Oregon
Zip
97470-5510
Phone Number
541-673-4152
Fax Number
541-673-4156
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
7394 (Oregon)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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