Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD LAWRENCE OLSON, DDS
ActiveDR. EDWARD LAWRENCE OLSON, DDS is a Pediatric Dentistry healthcare provider located in ST CLOUD, Minnesota. NPI 1417092016 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ST CLOUD, MN
Registration Details
- NPI Number
- 1417092016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2007 (19.505053988462 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MN7908 (MN)
Practice Information
- Address
-
816 W ST GERMAIN STSUITE 502ST CLOUD, MN, 56301Browse MN providers · Browse ZIP 56301
- Phone
- 3202539868
- Fax
- 3202550033
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.