NPI 1790668713

Justin Olsen DDS PLLC.

Organisation Oral & Maxillofacial Surgery (D.M.D.) San Antonio, TX

Practice location

Address: 15600 San Pedro Ave STE 107, San Antonio, TX 78232-3738
Phone: (210) 490-4044
Fax: (210) 490-3512

Authorised official

Name: Justin Olsen
Title: Owner
Phone: (435) 512-3442

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1790668713
Entity type: Organization
NPI issued: 28 Jul 2025
Record last updated: 30 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.