Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANNER OLSON, DDS
Active Sole ProprietorDR. TANNER OLSON, DDS is a Pediatric Dentistry healthcare provider located in SAN RAFAEL, California. NPI 1518630607 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1518630607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2021 (5.0273294622227 yrs)
- Last Updated
- Jun 10, 2024
- License
-
110138 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3110 KERNER BLVDSAN RAFAEL, CA, 949015411Browse CA providers · Browse ZIP 94901
- Phone
- 7014291464
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. APARNA AGHI | DMD | 1104815513 |
| DR. MARTIN SINAI RAYMAN | DDS | 1649386921 |
| DR. WILLIAM RICHARD CANIHAN | D.D.S. | 1063848919 |
| MICHELLE TA | DMD | 1124643739 |
| DR. OMID MIRFENDERESKI | DDS, MPH | 1891369641 |
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.