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Mark S. Oliverson, D.m.d.
Dental Clinic/Center in Salmon, Idaho
NPI 1801058862

Mark S. Oliverson, D.m.d. is a Dental Clinic/Center based in Salmon, ID and is specialized in Dental. Mark S. Oliverson, D.m.d. practices in Salmon, ID. The NPI Number for Mark S. Oliverson, D.m.d. is 1801058862 and holds a License No. D-4013 (Idaho).

The current practice location address for Mark S. Oliverson, D.m.d. is 207 Margaret St, Salmon, ID and can be reached out via phone at 208-756-2262 and via fax at 208-756-4473.

Location: 207 Margaret St, Salmon, ID, 83467-4400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801058862
Provider Name
Mark S. Oliverson, D.m.d.
Credential
Provider Entity Type
Organization
Address
207 Margaret St, Salmon, ID, 83467-4400
Phone Number
208-756-2262
Fax Number
208-756-4473
Provider Enumeration Date
06/30/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
807527500 05 ID
9202414 01 ID IDAHO SMILES
institution
Provider Business Practice Location Address Details
Address
207 Margaret St
City
Salmon
State
Idaho
Zip
83467-4400
Phone Number
208-756-2262
Fax Number
208-756-4473
person
Provider Business Mailing Address Details
Address
207 Margaret St
City
Salmon
State
Idaho
Zip
83467-4400
Phone Number
208-756-2262
Fax Number
208-756-4473
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D-4013 (Idaho)
Definition
Definition to come...
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