NPI 1457344566

Brian F Olsen, DDS

Practitioner General Practice Dentistry Montezuma Creek, UT

Practice location

Address: East Hwy 262 Unhs Dental, Montezuma Creek, UT 84534
Phone: (435) 485-0121
Fax: (866) 275-2831
Mailing address: 1592 N. Parkstone Rd, Washington, UT 84780

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 358375-9922 (UT)

Other Dentist providers in Utah →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 9149 (CO)

Registry record

NPI: 1457344566
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2005
Record last updated: 24 Oct 2012

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.