NPI 1508503475

Trevor Jared Oliverson, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Rochester, MN

Practice location

Address: 200 1st St SW, Rochester, MN 55905-0001
Phone: (801) 529-3619
Mailing address: PO Box 860912, Minneapolis, MN 55486-0912

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 83332 (MN)

Other Oral & Maxillofacial Surgery providers in Minnesota →

Dentist

Dental Providers Taxonomy 122300000X Licence D14712 (MN)

Other Dentist providers in Minnesota →

Registry record

NPI: 1508503475
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2022
Record last updated: 24 Jul 2026

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.